Individual
WYLIE EVANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 PYRAMID WAY STE 202, SPARKS, NV 89431-4470
(775) 742-1235
Mailing address
PO BOX 21044, RENO, NV 89515-1044
(775) 830-7774
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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