Individual
TANISHA PEREZ-WHITKAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 BRINKBY AVE APT 306, RENO, NV 89509-4421
(775) 772-2299
Mailing address
602 BRINKBY AVE APT 306, RENO, NV 89509-4421
(775) 772-2299
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3792650
—
NV
Enumeration date
09/28/2015
Last updated
09/28/2015
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