Mr Marlon D Nicholas, | |
2458 Color Canyon Way # 165, Las Vegas, NV 89156-7507 | |
(404) 599-4757 | |
Not Available |
Full Name | Mr Marlon D Nicholas |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 2458 Color Canyon Way # 165, Las Vegas, Nevada |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831818160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 823640 (Nevada) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Marlon D Nicholas, 2458 Color Canyon Way, Las Vegas, NV 89156-7507 Ph: (404) 599-4757 | Mr Marlon D Nicholas, 2458 Color Canyon Way # 165, Las Vegas, NV 89156-7507 Ph: (404) 599-4757 |
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