Individual
CORRINE VANDEMAELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3915 NEIL RD, RENO, NV 89502-6808
(775) 329-6300
(775) 870-4686
Mailing address
680 S ROCK BLVD, RENO, NV 89502-4113
(775) 329-6300
(775) 870-4686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2765
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/13/2021
Last updated
01/25/2023
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