Individual
NICKEL THORNBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5650 S RAINBOW BLVD, LAS VEGAS, NV 89118-1808
(702) 470-1102
Mailing address
5640 GRANOLLERS DR, LAS VEGAS, NV 89135-2401
(501) 247-5075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1785
NV
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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