Theresa Fogal is a Respite Care based in Reno, NV. Theresa Fogal practices in Reno, NV. The NPI Number for Theresa Fogal is 1144776170 and holds a License No. (Nevada).
The current practice location address for Theresa Fogal is 4310 Toro Ct, Reno, NV and can be reached out via phone at 775-852-1078.
Location: 4310 Toro Ct, Reno, NV, 89502-6426
Provider Profile Details
NPI Number
1144776170
Provider Name
Theresa Fogal
Credential
Provider Entity Type
Individual
Gender
Female
Address
4310 Toro Ct, Reno, NV, 89502-6426
Phone Number
775-852-1078
Fax Number
Provider Enumeration Date
08/30/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821451675 | 05 | NV |
Provider Business Practice Location Address Details
Address
4310 Toro Ct
City
State
Zip
89502-6426
Phone Number
775-852-1078
Fax Number
Provider Business Mailing Address Details
Address
4310 Toro Ct
City
State
Zip
89502-6426
Phone Number
775-852-1078
Fax Number
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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