Deandre Nichols
NPI #1013372663 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1013372663
- Entity Type
- Individual
- Name
- Deandre Nichols
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Dec 28, 2015
- Last Updated
- Dec 28, 2015
Practice Location
- Address
- 3755 W LAKE MEAD BLVD
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89032-4897
- Phone
- (702) 487-5665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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