Search › Nevada › 106S00000X
Shannon Gray
NPI 1649640038 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3435 W. Craig Rd A
Las Vegas, NV 89130 - Phone
- (702) 675-6314
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 225400000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada