Organization
WHITE PINE COMMUNITY TRAINING CENTER INC.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAURINE W FISHER (DIRECTOR)
(775) 289-6713
Entity
Organization
Contact information
Practice address
1501 PARK AVE, ELY, NV 89301-2645
(775) 289-6713
Mailing address
1501 PARK AVE, ELY, NV 89301-2645
(775) 289-6713
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
9005038557
NV
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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