Theresa Ann Humphrey

NPI #1679112254 in Reno, Nevada

Provider Information

NPI Number: 1679112254
Entity Type: Individual
Name: Theresa Ann Humphrey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Dec 31, 2019
Last Updated: Dec 31, 2019

Practice Location

Address: 517 HAMMILL LN
City: Reno
State: Nevada
ZIP Code: 89511-1004
Phone: (775) 824-2323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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