Individual
ANNISA VONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 WRONDEL WAY, SUITE 275, RENO, NV 89502-3701
(775) 336-2812
(775) 336-1082
Mailing address
6565 OGLALA CT, SUN VALLEY, NV 89433-6643
(775) 303-9188
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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