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Organization

SALLY WEARE EDNEY, INC

Active
Other names
SALLY WEARE EDNEY CHILDREN'S HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA AGNES HALLMARK CMM, CCO (DIRECTOR)
(775) 742-7028
Entity
Organization

Contact information

Practice address
730 WILLOW ST, RENO, NV 89502-1304
(775) 870-1000
(775) 870-1003
Mailing address
730 WILLOW ST, RENO, NV 89502-1304
(775) 870-1000
(775) 870-1003

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN00284
NV

Other

Enumeration date
08/09/2012
Last updated
08/09/2012
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