Individual
ERYCK NICKO BRACAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3921 HAMPTON GROVE CT, LAS VEGAS, NV 89129-7922
(702) 466-3238
Mailing address
3921 HAMPTON GROVE CT, LAS VEGAS, NV 89129-7922
(702) 466-3238
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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