Provider First Line Business Practice Location Address:
5043 TENABO AVENUE
Provider Second Line Business Practice Location Address:
WILLIAM BEE RIRIE HOSPITAL CRESCENT VALLEY CLINIC
Provider Business Practice Location Address City Name:
CRESCENT VALLEY
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89821
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-468-0250
Provider Business Practice Location Address Fax Number:
775-468-0255
Provider Enumeration Date:
09/29/2017