Individual
THERESA DAMBROSIO INECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 E 2ND ST STE 302, RENO, NV 89502-1198
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1969
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255789319
—
NV
Enumeration date
05/31/2016
Last updated
12/15/2020
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