Individual
RICHARD H WIERSMA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 TAYLOR PL, FALLON, NV 89406-6806
(775) 423-3392
Mailing address
425 SUNRISE TER, FALLON, NV 89406-5427
(775) 217-9472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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