Organization
PREVENTIVE MEDICINE CONSULTING, LLC
Active
Other names
Previty Health
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA M PHARES DO, MPH (OWNER/PHYSICIAN)
(530) 539-4121
Entity
Organization
Contact information
Practice address
15 MCCABE DR STE 203, RENO, NV 89511-4816
(530) 539-4121
Mailing address
PO BOX 19115, RENO, NV 89511-0889
(530) 539-4121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396078002
NPI
CA
Enumeration date
08/22/2021
Last updated
08/22/2021
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