Individual
NICOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
220 E HORIZON DR STE D, HENDERSON, NV 89015-8001
(702) 469-4892
(702) 476-4767
Mailing address
220 E HORIZON DR STE D, HENDERSON, NV 89015-8001
(702) 469-4892
(702) 476-4767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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