Individual
MYLENE ISABEDRA DIMACULANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 S VIRGINIA ST, RENO, NV 89502-4503
(775) 824-0802
Mailing address
6400 SHARLANDS AVE APT H1054, RENO, NV 89523-2734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17562
NV
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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