Individual
NICOLE ASHLEY TANGONAN MUHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 WHITE TAIL CT, HENDERSON, NV 89074-6134
(702) 283-4765
Mailing address
2 WHITE TAIL CT, HENDERSON, NV 89074-6134
(702) 283-4765
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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