Provider Demographics
NPI:1316407075
Name:PARENTO, GAUDY PAMELA
Entity Type:Individual
Prefix:
First Name:GAUDY
Middle Name:PAMELA
Last Name:PARENTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4872 SANTENAY LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-8177
Mailing Address - Country:US
Mailing Address - Phone:775-813-9651
Mailing Address - Fax:
Practice Address - Street 1:4872 SANTENAY LN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-8177
Practice Address - Country:US
Practice Address - Phone:775-813-9651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant