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Individual

ANNA AGUIRRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
641 1/2 SAINT LAWRENCE AVE, RENO, NV 89509-1441
(775) 470-2470
Mailing address
641 1/2 SAINT LAWRENCE AVE, RENO, NV 89509-1441

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NV20171208691
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82-1015283
TAX ID
Enumeration date
06/26/2017
Last updated
06/16/2018
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