Individual
NICOLE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
819 LAUREN PATT CT, HENDERSON, NV 89014-2589
(912) 682-6013
Mailing address
819 LAUREN PATT CT, HENDERSON, NV 89014-2589
(912) 682-6013
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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