Individual
ELVONDA JEAN CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 VISTA KNOLL PKWY, RENO, NV 89506-5594
(775) 332-0630
Mailing address
6240 W CHINOOK CT, SUN VALLEY, NV 89433-6622
(775) 741-0027
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
439
NV
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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