Individual
MEGAN LA REE AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY # 8C, SPARKS, NV 89431-5564
(775) 333-0943
Mailing address
489 PENNY WAY, SPARKS, NV 89431-1215
(775) 772-5265
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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