Individual
GRACIA BAZENGA BISELELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3295 PIERREMONT RD, RENO, NV 89503-1936
(775) 225-0388
Mailing address
3295 PIERREMONT RD, RENO, NV 89503-1936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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