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438 Pyramid Way Sparks NV 89431-5053 | |
| (775) 378-2775 | |
| (775) 525-3889 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 438 Pyramid Way, Sparks, Nevada |
| Authorized Official Name and Position | Yeeymmy Patricia Giron (OWNER) |
| Authorized Official Contact | 7753782775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1855 Sullivan Ln Ste 210 Sparks NV 89431-2836 Ph: (775) 378-2775 | 438 Pyramid Way Sparks NV 89431-5053 Ph: (775) 378-2775 |
| NPI Number | 1952646028 |
|---|---|
| Provider Enumeration Date | 11/30/2012 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952646028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV2012159935 (Nevada) | Primary |
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