Maple Star

NPI #1275974958 in Reno, Nevada

Provider Information

NPI Number: 1275974958
Entity Type: Organization
Organization Name: Maple Star
Primary Specialty: Community Health Worker
Enumeration Date: Jul 10, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 4773 CAUGHLIN PKWY
Address 2: SUITE 2
City: Reno
State: Nevada
ZIP Code: 89519-1011
Phone: (775) 297-4208

Authorized Official

Name: DEIDRA ELYCE MARS
Title: SKILLS REHABILITATION WORKER
Phone: (775) 287-4208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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