Individual
TAMIKA L WAITERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2655 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1600
Mailing address
3286 BULLWINKLE DR, RENO, NV 89512-1135
(702) 883-0859
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5832-S
NV
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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