| Trinitydealers | |
|
109 K St Sparks NV 89431-3212 | |
| (775) 313-3341 | |
| (775) 293-4113 |
| Full Name | Trinitydealers |
|---|---|
| Speciality | Counselor |
| Location | 109 K St, Sparks, Nevada |
| Authorized Official Name and Position | Courage Osawe (MANAGER) |
| Authorized Official Contact | 7753133341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinitydealers 109 K St Sparks NV 89431-3212 Ph: (775) 313-3341 | Trinitydealers 109 K St Sparks NV 89431-3212 Ph: (775) 313-3341 |
| NPI Number | 1902070022 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902070022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1006160043 (Nevada) | Primary |
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