Individual
JAZMINE NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3140 S RAINBOW BLVD STE 400, LAS VEGAS, NV 89146-6234
(702) 706-7635
Mailing address
3370 SAINT ROSE PKWY APT 616, HENDERSON, NV 89052-4243
(702) 419-0023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-243949
NV
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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