Individual
BLAINE TONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 HOLCOMB AVE STE 102, RENO, NV 89502-8008
(775) 770-2000
Mailing address
1420 HOLCOMB AVE STE 102, RENO, NV 89502-8008
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004446317
—
NV
Enumeration date
03/18/2020
Last updated
03/18/2020
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