Individual
ROMAN FOX-NIKOLAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 S LAKE ERIE DR, WEST VALLEY CITY, UT 84120-7350
(385) 441-4900
Mailing address
325 E 300 S APT 410, SALT LAKE CITY, UT 84111-3231
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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