| Shatana Harris -cobb | |
|
5332 Mountain Garland Ln N Las Vegas NV 89081-4034 | |
| (661) 466-8500 | |
| Not Available |
| Full Name | Shatana Harris -cobb |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5332 Mountain Garland Ln, N Las Vegas, Nevada |
| Authorized Official Name and Position | Shatana Harris-cobb (OWNER) |
| Authorized Official Contact | 6614668500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shatana Harris -cobb 5332 Mountain Garland Ln N Las Vegas NV 89081-4034 Ph: (661) 466-8500 | Shatana Harris -cobb 5332 Mountain Garland Ln N Las Vegas NV 89081-4034 Ph: (661) 466-8500 |
| NPI Number | 1235881533 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235881533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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