Organization
DESERT BLOOM WELLNESS NV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN WALLACE (OWNER)
(775) 232-0502
Entity
Organization
Contact information
Practice address
85 WASHINGTON ST, RENO, NV 89503-5604
(775) 453-4149
Mailing address
85 WASHINGTON ST, RENO, NV 89503-5604
(775) 453-4149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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