Individual
MRS. KYLIE GRACE SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
829445
NV
Other
Enumeration date
03/20/2020
Last updated
05/22/2020
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