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Individual

BRAYAN ALBERTO CHAGOLLA FELIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18600 WEDGE PKWY, RENO, NV 89511-3036
(775) 784-4843
Mailing address
108 KILDEER LN, RENO, NV 89502-4617
(775) 560-3861

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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