Organization
CA GERIATRIC SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIROSE CUTILLAR MD (OWNER)
(775) 813-7847
Entity
Organization
Contact information
Practice address
180 W HUFFAKER LN STE 306, RENO, NV 89511-2091
(775) 813-7847
Mailing address
180 W HUFFAKER LN STE 306, RENO, NV 89511-2091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/23/2024
Last updated
06/06/2024
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