NPI 1902541170
Jisseca Liezel Santillan
Practice location
- Address
- 315 Record St STE 100, Reno, NV 89512-3327
- Phone
- (775) 405-4111
- Fax
- (775) 688-5878
- Mailing address
- 6402 Mae Anne Ave APT 8, Reno, NV 89523-1785
Registered specialties
Registered Record Administrator
Primary
Registry record
- NPI
- 1902541170
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 May 2022
- Record last updated
- 2 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.