Individual
NICOLLE ALEXANDRA MONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 N RANCHO DR, STE. #142, LAS VEGAS, NV 89130-3195
(702) 355-2220
Mailing address
3606 N RANCHO DR, STE. #142, LAS VEGAS, NV 89130-3195
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1602215984
NV
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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