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3710 Grant Dr Ste A Reno NV 89509-5317 | |
(775) 786-0884 | |
Not Available |
Full Name | |
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Speciality | Prosthetic/orthotic Supplier |
Location | 3710 Grant Dr Ste A, Reno, Nevada |
Authorized Official Name and Position | Latosha Jackson (OWNER) |
Authorized Official Contact | 7757708023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3710 Grant Dr Ste A Reno NV 89509-5317 Ph: (775) 786-0884 | 3710 Grant Dr Ste A Reno NV 89509-5317 Ph: (775) 786-0884 |
NPI Number | 1932897113 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 05/11/2023 |
Identifier | Type | State | Issuer |
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1932897113 | NPI | - | NPPES |
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