Individual
SEPIDEH ARYA-SANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4796 CAUGHLIN PKWY STE 108, RENO, NV 89519-0910
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1721
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13684095
CAQH
—
Enumeration date
01/26/2016
Last updated
01/18/2021
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