Individual
DEANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3160 VISTA BLVD, SPARKS, NV 89436-6703
(775) 352-7200
(775) 352-7222
Mailing address
3160 VISTA BLVD, SPARKS, NV 89436-6703
(775) 352-7200
(775) 352-7222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
404
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002410026
—
NV
Enumeration date
01/17/2006
Last updated
02/27/2019
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