STATE OF NEVADA

SPARKS, NV
NPI1609006188
Entity TypeOrganization
Authorized ContactMARTY CARRAHER
Administrative Services Officer
775-688-1658
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2009-07-20
Last Update Date2009-07-20
Business Address
STATE OF NEVADA
480 GALLETTI WAY
SPARKS, NV 89431-5564
Phone number: 775-688-1633
Mailing Address
STATE OF NEVADA
2655 ENTERPRISE RD
RENO, NV 89512-1666
Phone number: 775-688-1600
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