Organization
DEIDRE HAMMON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE HAMMON (HCB SUPPORT STAFF)
(775) 544-9338
Entity
Organization
Contact information
Practice address
4465 BOCA WAY SPC 212, RENO, NV 89502-6440
(775) 544-9338
Mailing address
4465 BOCA WAY SPC 212, RENO, NV 89502-6440
(775) 544-9338
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005037922
—
NV
Enumeration date
02/25/2016
Last updated
02/25/2016
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