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Individual

MARLENA KATHERINE FAJARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DTR

Contact information

Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9665
(775) 331-7000
Mailing address
4650 SIERRA MADRE DR APT 592, RENO, NV 89502-5529
(530) 906-5445

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
NV

Other

Enumeration date
10/03/2020
Last updated
10/03/2020
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