Most Relevant Information
Provider Data
NPI Number: | 1003324484 |
Provider Name: | NICOLE BENNETT |
Entity Type: | Individual |
Taxonomy Code: | 172V00000X |
Specialty: | Community Health Worker |
License Number: |
Most Important Dates
Enumeration Date: | 01/18/2018 |
Last Updated: | 01/18/2018 |
Provider Practice Location
4773 CAUGHLIN PKWY STE 2
RENO
NV
895191012
Practice Location Phone/Fax
Phone: | 7756772216 |
Fax: |
Provider Mailing Location
4773 CAUGHLIN PKWY STE 2
RENO
NV
895191012
Provider Mailing Phone/Fax
Phone: | 7756772216 |
Fax: |