Individual
CASSIAH DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 AIRMOTIVE WAY, RENO, NV 89502-3201
(702) 249-0837
Mailing address
1325 AIRMOTIVE WAY, RENO, NV 89502-3201
(702) 249-0837
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
5445PCO-7
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114007101
—
NV
05
—
11941479549
—
NV
05
—
1295181055
—
NV
05
—
1427138338
—
NV
05
—
1548508591
—
NV
05
—
9005042153
—
NV
05
—
9005057011
—
NV
Enumeration date
02/05/2018
Last updated
02/05/2018
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