Provider Demographics
NPI:1508252370
Name:FIGEROA, TILENE (DC)
Entity Type:Individual
Prefix:DR
First Name:TILENE
Middle Name:
Last Name:FIGEROA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1646 GOLDDUST DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-9326
Mailing Address - Country:US
Mailing Address - Phone:971-322-7573
Mailing Address - Fax:
Practice Address - Street 1:9570 S MCCARRAN BLVD STE 110
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-9202
Practice Address - Country:US
Practice Address - Phone:775-746-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01700111N00000X
WACH60632386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor