Theresa Fogal

NPI #1144776170 in Reno, Nevada

Provider Information

NPI Number: 1144776170
Entity Type: Individual
Name: Theresa Fogal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 4310 TORO CT
City: Reno
State: Nevada
ZIP Code: 89502-6426
Phone: (775) 852-1078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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