Individual
NICHOLAS JAMES GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
9089 S PECOS RD, HENDERSON, NV 89074-7183
(702) 680-1526
Mailing address
1608 STARRIDGE WAY, LAS VEGAS, NV 89142-1175
(702) 376-2809
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
RBT-23-309390
NV
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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