Individual
MRS. CHARLENE LLOY CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Contact information
Practice address
777 E WILLIAM ST STE 106, CARSON CITY, NV 89701-4057
(775) 686-0117
(775) 345-3554
Mailing address
777 E WILLIAM ST STE 106, CARSON CITY, NV 89701-4057
(775) 686-0117
(775) 345-3554
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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