Individual
DR. JASON ALLAN BOLENBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8175 S VIRGINIA ST # B900, RENO, NV 89511-8922
(775) 827-1100
Mailing address
8175 S VIRGINIA ST # B900, RENO, NV 89511-8922
(775) 827-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
479
NV
Other
Enumeration date
07/27/2006
Last updated
06/09/2009
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