Individual
ANDREA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2295 KIETZKE LN, RENO, NV 89502-3604
(775) 328-1773
Mailing address
4955 CIARRA KENNEDY LN, RENO, NV 89503-1388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1033
NV
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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