Individual
NICHOLETTE RAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 DUNCAN DR, LAS VEGAS, NV 89130-2811
(702) 385-2020
(702) 658-6608
Mailing address
6360 E SAHARA AVE, 1091, LAS VEGAS, NV 89142-2855
(702) 385-2020
(702) 658-6608
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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