Organization
WASHOE TRIBE OF NEVADA AND CALIFORNIA
Active
Parent organization
WASHOE TRIBE OF NEVADA AND CALIFORNIA
Other names
WASHOE TRIBE HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHOE TRIBE OF NEVADA AND CALIFORNIA
Authorized official
MRS. CONNIE L SOUZA (BUSINESS OFFICE MANAGER)
(775) 265-4215
Entity
Organization
Contact information
Practice address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-4215
(775) 265-6071
Mailing address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-4215
(775) 265-6071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
02/18/2009
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