BRYAN D WILDMAN

SPARKS, NV
NPI1366088502
Former NamePRUDENCE C WILDMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-11-22
Last Update Date2019-11-22
Business Address
Mr. BRYAN D WILDMAN MA
1755 SULLIVAN LN
SPARKS, NV 89431-2815
Phone number: 775-499-5534
Mailing Address
Mr. BRYAN D WILDMAN MA
1755 SULLIVAN LN
SPARKS, NV 89431-2815
Phone number: 775-499-5534
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