Individual
DOUGLAS JAMES WIDMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8390 CINNAMON RIDGE LN, RENO, NV 89523-4836
(775) 741-7982
Mailing address
8390 CINNAMON RIDGE LN, RENO, NV 89523-4836
(775) 741-7982
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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