Individual
MRS. CASEY VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10645 DOUBLE R BLVD, RENO, NV 89521-8920
(775) 409-4603
Mailing address
830 LYMAN AVE, RENO, NV 89509-2342
(775) 360-8188
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
NV
Enumeration date
07/21/2020
Last updated
07/21/2020
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