SHANE FONSECA

LAS VEGAS, NV
NPI1447815204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
SHANE FONSECA
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
Mailing Address
SHANE FONSECA
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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