Individual
DEANDRE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3755 W LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89032-4897
(702) 487-5665
Mailing address
4325 W ROME BLVD, APT #2014, NORTH LAS VEGAS, NV 89084-5497
(323) 649-7196
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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