Individual
CANDALERA LEIGH SLIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9990 DOUBLE R BLVD STE 200, RENO, NV 89521-4833
(775) 348-8800
(775) 348-8818
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(775) 786-1358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1141
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104071356
—
NV
01
—
11926376
CAQH
—
Enumeration date
12/01/2008
Last updated
02/14/2019
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