Organization
GATEWAY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR JEROME HICKS JR. FNP (OWNER/AUTHORIZED OFFICIAL)
(775) 741-8847
Entity
Organization
Contact information
Practice address
150 COUNTRY ESTATES CIR STE 108, RENO, NV 89511-4017
(775) 741-8847
Mailing address
150 COUNTRY ESTATES CIR STE 108, RENO, NV 89511-4017
(775) 741-8847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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