Individual
CHRISTI MARYJO MANNOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10655 PROFESSIONAL CIR STE A, RENO, NV 89521-5840
(775) 750-2173
Mailing address
10714 VISTA BONITA LN, RENO, NV 89521-4128
(775) 750-2173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102015
NV
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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