Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2011-08-02
- Last updated
- 2018-10-05
Specialties
Licenses
- License NV
- 1611
Location
- Practice location
- 1680 W WILLIAMS AVE
- City
- FALLON NV
- Postal code
- 89406
- Phone
- 775-867-3904
Organization contact
- Name
- STEVEN LOUIE
- Title
- Owner/Manager
- Phone
- 7754234832
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.