| |
112 No Reservation Rd, Mcdermitt, NV 89421-0315 | |
(775) 532-8522 | |
(775) 532-8024 |
Full Name | |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 112 No Reservation Rd, Mcdermitt, Nevada |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1407395304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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112 No Reservation Rd, Mcdermitt, NV 89421-0315 Ph: (775) 532-8522 | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 Ph: (775) 532-8522 |
Wendy Jewel Dexter, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 112 North Reservation Rd., Mcdermitt, NV 89421 Phone: 775-532-8522 Fax: 775-532-8024 |