Individual
GIA OVERTURF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W TELEGRAPH ST, SUITE 204, CARSON CITY, NV 89703-4266
(775) 885-7790
(775) 227-7066
Mailing address
111 W TELEGRAPH ST, SUITE 204, CARSON CITY, NV 89703-4266
(775) 885-7790
(775) 227-7066
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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