Most Relevant Information
Provider Data
| NPI Number: | 1003310988 |
| Provider Name: | KANDY MALTERER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2018 |
| Last Updated: | 03/23/2018 |
Provider Practice Location
307 W WINNIE LN STE 6
CARSON CITY
NV
897032145
Practice Location Phone/Fax
| Phone: | 7758838840 |
| Fax: |
Provider Mailing Location
3708 LAKESIDE DR STE 200
RENO
NV
895095371
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |