| Boheme, LLC | |
|
1100 Caughlin Xing Reno NV 89519-0613 | |
| (775) 800-1724 | |
| (775) 800-1725 |
| Full Name | Boheme, LLC |
|---|---|
| Speciality | General Practice |
| Location | 1100 Caughlin Xing, Reno, Nevada |
| Authorized Official Name and Position | Tanya Phares (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7758001724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boheme, LLC 1100 Caughlin Xing Reno NV 89519-0613 Ph: (775) 800-1724 | Boheme, LLC 1100 Caughlin Xing Reno NV 89519-0613 Ph: (775) 800-1724 |
| NPI Number | 1689057655 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689057655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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