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Individual

JOSEPH NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3891 TERRAZZO AVE, LAS VEGAS, NV 89115-7429
(702) 764-9417
Mailing address
3891 TERRAZZO AVE, LAS VEGAS, NV 89115-7429

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/17/2023
Last updated
08/23/2023
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Product
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