Provider Demographics
NPI:1467684811
Name:VENEGONI-TAYLOR, KATANIA (DR OF ORIENTAL MED)
Entity Type:Individual
Prefix:
First Name:KATANIA
Middle Name:
Last Name:VENEGONI-TAYLOR
Suffix:
Gender:F
Credentials:DR OF ORIENTAL MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5495 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-9039
Mailing Address - Country:US
Mailing Address - Phone:775-742-2769
Mailing Address - Fax:775-229-8746
Practice Address - Street 1:9436 DOUBLE R BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6016
Practice Address - Country:US
Practice Address - Phone:775-829-2277
Practice Address - Fax:775-829-2365
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV1030171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist