Individual
BRENDA L KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2944 MOUNTAIN CITY HWY, ELKO, NV 89801-4495
(775) 738-8212
Mailing address
2944 MOUNTAIN CITY HWY, ELKO, NV 89801-4495
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
505
NV
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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