Individual
MS. CHERYL ATINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADC II
Contact information
Practice address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 748-1426
(775) 738-4219
Mailing address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 748-1426
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
646
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00470420
—
NV
Enumeration date
05/06/2013
Last updated
05/06/2013
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