Individual
MR. NICHOLAS GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 E WILLIAMS AVE, FALLON, NV 89406-3020
(775) 867-5615
Mailing address
PO BOX 3115, SPARKS, NV 89432-3115
(775) 343-6459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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