Individual
DERRICK WADE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8670 SILVER SHORES DR, RENO, NV 89506-2153
(775) 621-6187
Mailing address
8670 SILVER SHORES DR, RENO, NV 89506-2153
(775) 621-6187
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
1204211713
NV
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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