Individual
MS. DIANNE S WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W 1ST ST, SUITE 200, RENO, NV 89503-5675
(775) 742-4368
(775) 322-4460
Mailing address
PO BOX 904, VERDI, NV 89439-0904
(775) 742-4368
(775) 322-4460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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