Individual
DENISE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 IDAHO ST STE 216, ELKO, NV 89801-3753
(775) 397-7220
Mailing address
405 IDAHO ST STE 216, ELKO, NV 89801-3753
(775) 397-7220
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780936435
—
NV
Enumeration date
10/17/2014
Last updated
10/17/2014
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