Individual
NICOLE GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 968-9372
Mailing address
340 BARLETTA AVE, LAS VEGAS, NV 89123-3080
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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