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Individual

ALEXIS BRENNECKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
116 E SEVENTH ST STE 3, CARSON CITY, NV 89701-5236
(775) 841-6050
Mailing address
2534 AIRPORT RD, CARSON CITY, NV 89706-1113

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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  • EDI platform