Provider First Line Business Practice Location Address:
INTEGRATED HEALTH CENTER U N R 1664N VIRGINIA ST
Provider Second Line Business Practice Location Address:
M-S 274
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:
775-682-7105
Provider Business Practice Location Address Fax Number:
775-784-6425
Provider Enumeration Date:
05/24/2007