Ellis, Shanice Latae

Ellis, Shanice Latae is an sole proprietor health care provider with primary practice located at 4024 Smokey Fog Ave Unit 101 , North Las Vegas NV 89081-3842. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Ellis, Shanice Latae can be contacted via phone (760) 269-2482.

Contact Information

Primary practice address
4024 Smokey Fog Ave Unit 101 North Las Vegas NV 89081-3842
Phone: (760) 269-2482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1780934695
LBN Legal business name Ellis, Shanice Latae
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Sep 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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