Individual
CHARLES EUGENE MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2470 WRONDEL WAY # 275, RENO, NV 89502-3701
(775) 336-2812
(775) 336-1082
Mailing address
3555 CARLOS LN APT B, RENO, NV 89502-6822
(775) 200-3952
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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