Washoe Tribe Of Nevada And California

NPI 1043608243 - General Practice - 208D00000X

NPI Details
NPI 1043608243
Enumeration Date 12/23/2014
Last Updated 12/23/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROSEANN ROSEANN
Position CREDENTIALING COORDINATOR
Phone (775) 265-4215
Fax (775) 265-6071
Practice Location
1559 WATASHEAMU
GARDNERVILLE NV, 89460-7455, US
Phone (775) 265-4215
Fax (775) 265-6071
Business Location
1559 WATASHEAMU
GARDNERVILLE NV, 89460-7455, US
Phone (775) 265-4215
Fax (775) 265-6071
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Washoe Tribe Of Nevada And California NPI is 1043608243, taxonomy code is 208D00000X Washoe Tribe Of Nevada And California physically located at 1559 Watasheamu, Gardnerville NV, 89460-7455. NPI Number 1033115704 has the healthcare provider type.

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1043608243 NPI number is provided on an as is basis without warranty of any kind. 1043608243 is maintained by the National Plan & Provider Enumeration System. The contents of Washoe Tribe Of Nevada And California are for informational purposes only.