SHANE WILSON

SPARKS, NV
NPI1245548239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-09-23
Last Update Date2010-09-23
Business Address
-- SHANE WILSON
741 RANCHO VIA DR
SPARKS, NV 89434-4051
Phone number: 775-223-9040
Mailing Address
-- SHANE WILSON
741 RANCHO VIA DR
SPARKS, NV 89434-4051
Phone number: