Most Relevant Information
Provider Data
NPI Number: | 1003450750 |
Provider Name: | RONALD KING |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 11/05/2019 |
Last Updated: | 11/05/2019 |
Provider Practice Location
1005 TERMINAL WAY STE 125
RENO
NV
895022198
Practice Location Phone/Fax
Phone: | 7757864999 |
Fax: |
Provider Mailing Location
1351 KIMMERLING RD APT A
GARDNERVILLE
NV
894609029
Provider Mailing Phone/Fax
Phone: | |
Fax: |