Individual
NICOLE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 EUROPEAN DR, HENDERSON, NV 89052-4017
(702) 354-1545
Mailing address
601 EAST ST, PAHRUMP, NV 89048-5368
(702) 354-1545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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