Individual
JERILYN S CALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 SILVERADA BLVD, RENO, NV 89512-2051
(661) 992-3104
Mailing address
PO BOX 1512, GRAEAGLE, CA 96103-1512
(661) 992-3104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09-0089
NV
Other
Enumeration date
04/28/2009
Last updated
06/21/2010
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