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Individual

DR. SUSAN DIANNE RIBEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18653 WEDGE PARKWAY, SUITE 130, RENO, NV 89511
(775) 770-7630
(775) 770-7635
Mailing address
18653 WEDGE PARKWAY, SUITE 130, RENO, NV 89511
(775) 770-7630
(775) 770-7635

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9124
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3102343
NV
Enumeration date
01/24/2006
Last updated
01/31/2014
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