Individual
LYNDA JO PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W MOANA LN STE 104, RENO, NV 89509-4942
(775) 525-0270
Mailing address
255 W MOANA LN STE 104, RENO, NV 89509-4942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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