Individual
SAVANAH PENCILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 E LONG ST, CARSON CITY, NV 89706-2505
(775) 461-0025
Mailing address
1821 LAKE TAHOE BLVD APT EE7, SOUTH LAKE TAHOE, CA 96150-3717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
823179
NY
163W00000X
Registered Nurse
Primary
858585
NV
163W00000X
Registered Nurse
95294800
CA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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