Fort Mcdermitt Tribe

NPI #1407395304 in Mcdermitt, Nevada

Provider Information

NPI Number: 1407395304
Entity Type: Organization
Organization Name: Fort Mcdermitt Tribe
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 112 NO RESERVATION RD
City: Mcdermitt
State: Nevada
ZIP Code: 89421-0315
Phone: (775) 532-8522

Authorized Official

Name: VALERIE BARR
Title: CFO
Phone: (775) 532-8259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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