Individual
MRS. ALICIA JEAN HAENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 I ST, SPARKS, NV 89431-3689
(775) 358-5330
Mailing address
850 I ST, SPARKS, NV 89431-3689
(775) 358-5330
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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