Individual
ALI R WIRTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 PARKVIEW AVE, WINNEMUCCA, NV 89445-3231
(775) 304-6489
Mailing address
380 PARKVIEW AVE, WINNEMUCCA, NV 89445-3231
(775) 304-6489
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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