A NICKNAM PC

LAS VEGAS, NV
NPI1659501302
Entity TypeOrganization
Authorized ContactAMIR K NICKNAM
President
702-733-6622
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NV  11368)
Enumeration Date2009-07-15
Last Update Date2013-12-31
Business Address
A NICKNAM PC
1712 BEARDEN DR
LAS VEGAS, NV 89106-4107
Phone number: 702-733-6622
Mailing Address
A NICKNAM PC
PO BOX 34717
LAS VEGAS, NV 89133-4717
Phone number: 702-733-6622
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