Individual
BART VANDAMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QIDP
Contact information
Practice address
5365 MAE ANNE AVE, STE A10, RENO, NV 89523-1840
(775) 323-6222
(775) 323-6263
Mailing address
5365 MAE ANNE AVE, STE A10, RENO, NV 89523-1840
(775) 323-6222
(775) 323-6263
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503417
—
NV
Enumeration date
02/23/2016
Last updated
02/23/2016
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