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NPI Code Detail

MEDICARE: SHANTA LATONI MCDANIEL

MEDICARE: SHANTA LATONI MCDANIEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1518359306
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTA LATONI MCDANIEL
Provider Business Mailing Address
First Line : 4029 PEPPER THORN AVE UNIT 102
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3810
Country : US
Telephone Number : 702-818-0383
Fax Number :
Provider Business Practice Location Address
First Line : 4029 PEPPER THORN AVE UNIT 102
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3810
Country : US
Telephone Number : 702-818-0383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 03/03/2015

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Directions to “ SHANTA LATONI MCDANIEL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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