Individual
RAYMOND BLAISE NGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 FREEPORT BLVD STE 3, SPARKS, NV 89431-6259
(775) 358-8290
(775) 358-0612
Mailing address
390 FREEPORT BLVD STE 3, SPARKS, NV 89431-6259
(775) 358-8290
(775) 358-0612
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/22/2013
Last updated
09/22/2013
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