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Organization
WASHOE TRIBE OF NEVADA AND CALIFORNIA
Active
Organization
WASHOE TRIBE OF NEVADA AND CALIFORNIA
Active
Other names
WASHOE TRIBAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEANN KIZER (CREDENTIALING COORDINATOR)
(775) 265-4215
Entity
Organization
Contact information
Practice address
1559 WATASHEAMU, GARDNERVILLE, NV 89460-7455
(775) 265-4215
(775) 265-6071
Mailing address
1559 WATASHEAMU, GARDNERVILLE, NV 89460-7455
(775) 265-4215
(775) 265-6071
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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