MYRIAM DANIELA LONGBALLA

RENO, NV
NPI1235355306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: CO  064336)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- MYRIAM DANIELA LONGBALLA CST-FA
40 SUNRIDGE CT E
RENO, NV 89511-5743
Phone number: 775-849-1331
Mailing Address
-- MYRIAM DANIELA LONGBALLA CST-FA
40 SUNRIDGE CT E
RENO, NV 89511-5743
Phone number: 775-849-1331
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