Individual
GUADALUPE LETICIA ALVIZO TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 GRANT DR, RENO, NV 89509-5474
(775) 829-4700
(775) 829-4710
Mailing address
9520 PROTOTYPE CT, RENO, NV 89521-5916
(775) 342-7915
(775) 852-6321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2556
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
NV
Enumeration date
06/20/2019
Last updated
12/01/2021
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