Organization
CANON CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINIKACHUKWU AWOKE (FNP)
(702) 829-7544
Entity
Organization
Contact information
Practice address
401 RYLAND ST STE 200A, RENO, NV 89502-1643
(702) 829-7544
(702) 745-0851
Mailing address
401 RYLAND ST STE 200A, RENO, NV 89502-1643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
09/30/2024
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