Individual
TANNER DOMINICK DEGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 786-7200
Mailing address
3030 LEADERSHIP PKWY UNIT 10207, RENO, NV 89503-2182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23000
NV
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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