Individual
JUDITH DELOSANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 SKY COUNTRY DR, RENO, NV 89503-6803
(775) 690-3545
(775) 327-4580
Mailing address
3160 SKY COUNTRY DR, RENO, NV 89503-6803
(775) 690-3545
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005047947
—
NV
Enumeration date
07/21/2016
Last updated
07/21/2016
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