SHANE WAKEFIELD

RENO, NV
NPI1487345823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-05-17
Last Update Date2025-02-13
Business Address
SHANE WAKEFIELD
1291 BON REA WAY
RENO, NV 89503-2802
Phone number: 916-335-1058
Mailing Address
SHANE WAKEFIELD
1291 BON REA WAY
RENO, NV 89503-2802
Phone number: 916-335-1058
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