Organization
OPTIMAL SLEEP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNOCENT CHUKWUMA EZENWA M.D. (PRESIDENT)
(703) 909-9116
Entity
Organization
Contact information
Practice address
6 STEPTOE CIR, ELY, NV 89301-2692
(775) 289-3611
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NV
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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