Individual
ALYSSA BALTAZAR LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 MILL ST STE 100, RENO, NV 89502-1463
(702) 410-7825
(702) 946-0409
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825
(702) 946-0409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
02/18/2025
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