Individual
NICOLE NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4501 N BLAGG RD, PAHRUMP, NV 89060-1931
(775) 751-6600
Mailing address
6483 TERRA MIRANDA AVE, LAS VEGAS, NV 89118-2505
(808) 940-1121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0589
NV
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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