Individual
MR. SPENCER KILMAN VAN DYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 MILL ST # W11, RENO, NV 89502-1576
(775) 327-5174
(775) 327-5178
Mailing address
1155 MILL ST # W11, RENO, NV 89502-1576
(775) 327-5174
(775) 327-5178
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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