Individual
MICHELLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5615 S PECOS RD, LAS VEGAS, NV 89120-1961
(702) 736-8100
Mailing address
5615 S PECOS RD, LAS VEGAS, NV 89120-1961
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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