Most Relevant Information
Provider Data
| NPI Number: | 1003219874 |
| Provider Name: | ANNISA VONNER |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2014 |
| Last Updated: | 10/07/2014 |
Provider Practice Location
2470 WRONDEL WAY
SUITE 275
RENO
NV
895023701
Practice Location Phone/Fax
| Phone: | 7753362812 |
| Fax: | 7753361082 |
Provider Mailing Location
6565 OGLALA CT
SUN VALLEY
NV
894336643
Provider Mailing Phone/Fax
| Phone: | 7753039188 |
| Fax: |