Individual
MR. THOMAS PETER DIQUARTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 379-4083
Mailing address
9801 CRYSTALLINE DR, RENO, NV 89506-7566
(775) 379-4083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GF-125403151
—
NV
Enumeration date
02/27/2011
Last updated
02/27/2011
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