Individual
NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
3950 W LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89032-4895
(702) 631-8472
(702) 631-9417
Mailing address
8137 REDBUD VINE ST, NORTH LAS VEGAS, NV 89085-4456
(707) 758-3386
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
527
NV
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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