Provider First Line Business Practice Location Address:
REDFIELD BUILDING MSC 196
Provider Second Line Business Practice Location Address:
UNIVERSITY OF NEVADA
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89557-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-784-6598
Provider Business Practice Location Address Fax Number:
775-784-1298
Provider Enumeration Date:
10/16/2006