Mr. Johnny Bernard Shaw
Mr. Johnny Bernard Shaw is a Rehabilitation Practitioner in Las Vegas, Nevada. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
2760 Lake Sahara Dr Ste 108Las Vegas, NV 89117-3438
Phone: (702) 222-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1881986594 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 12, 2011 |
| Last updated in NPPES | May 12, 2011 |
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