DOUGLAS JAMES WIDMARK

RENO, NV
NPI1033509757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-02-02
Last Update Date2015-02-02
Business Address
DOUGLAS JAMES WIDMARK
8390 CINNAMON RIDGE LN
RENO, NV 89523-4836
Phone number: 775-741-7982
Mailing Address
DOUGLAS JAMES WIDMARK
8390 CINNAMON RIDGE LN
RENO, NV 89523-4836
Phone number: 775-741-7982
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