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Organization
SIERRA COSMETIC LASER, INC
Active
Organization
SIERRA COSMETIC LASER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAVEN MONICA RITCHIE M.D. (OWNER/CEO)
(530) 448-6207
Entity
Organization
Contact information
Practice address
10448 DONNER PASS RD, TRUCKEE, CA 96161-0344
(530) 448-6207
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 326-8298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A74649
CA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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