Individual
JERIETH MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBA
Contact information
Practice address
100 ROSASCHI RD, YERINGTON, NV 89447-8722
(800) 507-8662
(775) 463-2379
Mailing address
100 ROSASCHI RD, YERINGTON, NV 89447-8722
(800) 507-8662
(775) 463-2379
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
NV
Enumeration date
01/16/2013
Last updated
01/16/2013
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