Provider Demographics
NPI:1629304878
Name:MESINA, OLGA LORENA
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:LORENA
Last Name:MESINA
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 1:18271 DUSTIN CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89508-2527
Mailing Address - Country:US
Mailing Address - Phone:775-336-8483
Mailing Address - Fax:775-322-6774
Practice Address - Street 1:434 WASHINGTON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4323
Practice Address - Country:US
Practice Address - Phone:775-336-8483
Practice Address - Fax:775-322-6774
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist