Individual
TABATHA DAWN WUNSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 TRAINER WAY, RENO, NV 89512-2593
(702) 622-2484
Mailing address
2015 TRAINER WAY, RENO, NV 89512-2593
(702) 622-2484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
251S00000X
NV
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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