Individual
IVAN TRIGUEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 KRESGE LN, SPARKS, NV 89431-6435
(775) 359-9200
Mailing address
190 BARTLETT ST, RENO, NV 89512-2203
(775) 412-1646
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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