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Individual

PHYLLIS ANNE TRAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMFT

Contact information

Practice address
850 MILL ST STE 100, RENO, NV 89502-1463
(775) 538-6700
(775) 688-5878
Mailing address
PO BOX 4521, CARSON CITY, NV 89702-4521
(775) 888-9148

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT15312
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN10245
NV

Other

Enumeration date
07/24/2018
Last updated
07/24/2018
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