Individual
JAMEN VEDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
775 FLEISCHMANN WAY, CARSON CITY, NV 89703-2995
(775) 445-8705
Mailing address
220 GOSS PL, DAYTON, NV 89403-6425
(775) 250-9642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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