Individual
MR. SEAN RUSSELL FERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1657 MOUNTAIN CITY HIGHWAY, SUITE 101, ELKO, NV 89801-2459
(775) 738-6727
Mailing address
1657 MOUNTAIN CITY HIGHWAY, SUITE 101, ELKO, NV 89801-2459
(775) 738-6727
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
396
NV
Other
Enumeration date
04/03/2007
Last updated
06/22/2010
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