Most Relevant Information
Provider Data
| NPI Number: | 1003366915 |
| Provider Name: | SHANDY NANOMANTUBE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2016 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
10391 DOUBLE R BLVD
RENO
NV
895215991
Practice Location Phone/Fax
| Phone: | 7756224799 |
| Fax: |
Provider Mailing Location
2175 LYRIC DR
RENO
NV
895214523
Provider Mailing Phone/Fax
| Phone: | 9167613749 |
| Fax: |