Individual
WANCHEN A MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 786-7200
Mailing address
975 KIRMAN AVE, RENO, NV 89502-0993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1039108
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039108
VETERANS HEALTH ASSOCIATION
—
Enumeration date
05/18/2017
Last updated
05/18/2017
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