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Individual

MARY REINDOLLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
973 MICA DR, SUITE 201, CARSON CITY, NV 89705-7255
(775) 783-6190
(775) 783-6191
Mailing address
973 MICA DR, SUITE 201, CARSON CITY, NV 89705-7255
(775) 783-6190
(775) 783-6191

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1173
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1173
NV PA LICENSE
NV
Enumeration date
06/12/2006
Last updated
10/13/2011
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