Shanae Ebony Glass
Case Manager/Care Coordinator in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1164055919
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1164055919
- Entity type
- Individual (NPI-1)
- Name
- Shanae Ebony Glass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2580 North RanchoSuite 105-106
North Las Vegas, NV 89032
Phone 702-475-4175
Mailing address
4361 Aponte St Apt 203Las Vegas, NV 89115-1632
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All 55 Case Manager/Care Coordinator providers in North Las Vegas · All 6,935 providers in North Las Vegas
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