Organization
JUSTINE ENOCHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE R ENOCHS (BASIC SKILLS TRAINER)
(775) 224-9144
Entity
Organization
Contact information
Practice address
1866 ALBERT ST, FALLON, NV 89406-5205
(775) 224-9144
Mailing address
1866 ALBERT ST, FALLON, NV 89406-5205
(775) 224-9144
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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