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Individual

MARIA SHACKELTON FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3915 NEIL RD, RENO, NV 89502-6808
(775) 870-4333
(775) 870-4633
Mailing address
1664 N VIRGINIA ST, RENO, NV 89557-0001
(775) 682-8648

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21195
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/26/2018
Last updated
07/27/2021
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