Individual
RAYMUNDO PUENTE GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1575 DELUCCHI LN STE 114, RENO, NV 89502-6581
(775) 432-1223
Mailing address
1575 DELUCCHI LN STE 114, RENO, NV 89502-6581
(775) 432-1223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
851412
NV
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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