Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XF0002X | Feeding, Eating & Swallowing | 2286 | NV |
NPI | 1770153165 |
---|---|
Provider Name | Dr. Meadow Renee Deason |
First Address | Reno, NV 89523-6886 |
Second Address | Reno, NV 89501-1708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2021 |
Last Update Date | 28/06/2021 |