Individual
MS. LESLIE KAY VICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N SHERMAN ST, FALLON, NV 89406-3488
(775) 423-7800
Mailing address
PO BOX 450, FALLON, NV 89407-0450
(775) 423-2381
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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