Individual
OSMIN ODIR BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 SIENNA PARK CT, RENO, NV 89512-1365
(775) 622-2055
Mailing address
655 SIENNA PARK CT, RENO, NV 89512-1365
(775) 622-2055
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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