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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

Other

Enumeration date
12/23/2014
Last updated
12/23/2014
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