| NPI | 1396175139 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MAURINE W FISHER Director 775-289-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NV 9005038557) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |