Organization
DULUMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LOWE-REYNOLDS RN (ADMINISTRATOR)
(775) 440-6244
Entity
Organization
Contact information
Practice address
3500 LAKESIDE CT STE 209, RENO, NV 89509-4896
(775) 440-6244
(775) 384-9987
Mailing address
3500 LAKESIDE CT STE 209, RENO, NV 89509-4896
(775) 440-6244
(775) 384-9987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1498426
NSP
NV
Enumeration date
10/11/2018
Last updated
10/11/2018
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