State of Nevada
NPI #1336203892 in Carson City, Nevada
Provider Information
- NPI Number
- 1336203892
- Entity Type
- Organization
- Organization Name
- State of Nevada
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 1665 OLD HOT SPRINGS RD STE 157
- City
- Carson City
- State
- Nevada
- ZIP Code
- 89706-0663
- Phone
- (775) 687-5162
Authorized Official
- Name
- DR. MARCIA BENNETT, PH. D.
- Title
- DIRECTOR
- Phone
- (775) 687-5162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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