Most Relevant Information
Provider Data
| NPI Number: | 1003319674 |
| Provider Name: | SHANIEKA COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/09/2018 |
| Last Updated: | 03/09/2018 |
Provider Practice Location
5000 W OAKEY BLVD
LAS VEGAS
NV
891463393
Practice Location Phone/Fax
| Phone: | 7027332890 |
| Fax: | 7027334951 |
Provider Mailing Location
5000 W OAKEY BLVD
LAS VEGAS
NV
891463393
Provider Mailing Phone/Fax
| Phone: | 7027332890 |
| Fax: | 7027334951 |