Provider Demographics
NPI:1881110385
Name:PARCO, LOUIE CALMA
Entity type:Individual
Prefix:
First Name:LOUIE
Middle Name:CALMA
Last Name:PARCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9930 RISING SUN CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-2063
Mailing Address - Country:US
Mailing Address - Phone:775-690-4584
Mailing Address - Fax:775-657-6653
Practice Address - Street 1:9930 RISING SUN CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-2063
Practice Address - Country:US
Practice Address - Phone:775-690-4584
Practice Address - Fax:775-657-6653
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator