Individual
MR. JIMI ANTHONY VESELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 677-2640
Mailing address
9801 CRYSTALLINE DR, RENO, NV 89506
(775) 677-2640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
GF-125403151
NV
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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