Organization
RENO SPARKS TRIBAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDELIA ABEL-JOHNSON PLN (COMMUNITY HEALTH SUPERVISOR)
(775) 329-5162
Entity
Organization
Contact information
Practice address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4357
Mailing address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4357
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LPN07194
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN07194
164W00000X
NV
Enumeration date
03/17/2011
Last updated
03/17/2011
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