Individual
MRS. LISA AMUSSEN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 RUBY VISTA DR, ELKO, NV 89801-1615
(775) 753-5500
Mailing address
2780 JENNINGS WAY, ELKO, NV 89801-4715
(385) 290-9382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1666
NV
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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