Individual
HEATHER COUBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3177 GORDONIA DR, CARSON CITY, NV 89701-3467
(775) 400-7669
Mailing address
3177 GORDONIA DR, CARSON CITY, NV 89701-3467
(775) 400-7669
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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