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Individual

DR. JENNIFER RACCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
75 PRINGLE WAY STE 701, RENO, NV 89502-1472
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # MS 14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5437

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
10617
NV
207RG0100X
Gastroenterology Physician
Primary
10617
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100501887
NV
Enumeration date
04/17/2006
Last updated
12/08/2022
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