Organization
STATE OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LOHMAN (SSPS)
(775) 684-3703
Entity
Organization
Contact information
Practice address
1000 E WILLIAMS STREET, #205, CARSON CITY, NV 80701
(775) 684-3703
(775) 684-3772
Mailing address
1000 E WILLIAM ST STE 205, CARSON CITY, NV 89701-3117
(775) 684-3703
(775) 684-3772
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NV
Other
Enumeration date
06/23/2008
Last updated
07/21/2022
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