Most Relevant Information
Provider Data
| NPI Number: | 1003673716 |
| Provider Name: | AUSTINDEANE SAUWEEP JENSEN-DIXON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/29/2024 |
| Last Updated: | 02/29/2024 |
Provider Practice Location
3500 LAKESIDE CT STE 145
RENO
NV
895094866
Practice Location Phone/Fax
| Phone: | 7753597272 |
| Fax: |
Provider Mailing Location
3500 LAKESIDE CT STE 145
RENO
NV
895094866
Provider Mailing Phone/Fax
| Phone: | 7753597272 |
| Fax: |