Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1101X | Ophthalmic Assistant | 222629 | NV |
NPI | 1447887732 |
---|---|
Provider Name | Cynthia Ugarte |
First Address | Carson City, NV 89703-4633 |
Second Address | Carson City, NV 89703-4633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2020 |
Last Update Date | 25/03/2020 |