Roman Fox-Nikolaev

NPI #1013703032 in West Valley City, Utah

Provider Information

NPI Number
1013703032
Entity Type
Individual
Name
Roman Fox-Nikolaev
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Apr 16, 2025
Last Updated
Apr 16, 2025

Practice Location

Address
2655 S LAKE ERIE DR
State
Utah
ZIP Code
84120-7350
Phone
(385) 441-4900

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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