Most Relevant Information
Provider Data
| NPI Number: | 1003304783 |
| Provider Name: | JUAN FERNANDO QUIJAS BS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 20051768948 |
Most Important Dates
| Enumeration Date: | 04/27/2018 |
| Last Updated: | 04/27/2018 |
Provider Practice Location
2725 YORI AVE
RENO
NV
895024325
Practice Location Phone/Fax
| Phone: | 7753200312 |
| Fax: | 7753290946 |
Provider Mailing Location
2725 YORI AVE
RENO
NV
895024325
Provider Mailing Phone/Fax
| Phone: | 7753200312 |
| Fax: | 7753290946 |