Organization
ANITA DELEON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA DELEON (OWNER)
(775) 338-8292
Entity
Organization
Contact information
Practice address
2680 STARKS WAY, RENO, NV 89512-1428
(775) 338-8292
Mailing address
2680 STARKS WAY, RENO, NV 89512-1428
(775) 338-8292
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005038342
—
NV
Enumeration date
05/13/2016
Last updated
05/13/2016
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