Individual
MR. NICK B STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
741 RANCHO VIA DR, SPARKS, NV 89434-4051
(775) 223-9040
Mailing address
6283 CHESTERFIELD LN, RENO, NV 89523-1726
(775) 223-9040
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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