Individual
WILLIE JEROME GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5985 OMAHA ST, RENO, NV 89506-8812
(775) 379-7684
Mailing address
5985 OMAHA ST, RENO, NV 89506-8812
(775) 379-7684
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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