MRS. Charlene Lloy Close, TECHNICIAN

NPI #1629533914 in Carson City, Nevada

Provider Information

NPI Number: 1629533914
Entity Type: Individual
Name: MRS. Charlene Lloy Close, TECHNICIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Credential: TECHNICIAN
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 777 E WILLIAM ST STE 106
City: Carson City
State: Nevada
ZIP Code: 89701-4057
Phone: (775) 686-0117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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