BARRY D WICKLUND

LAS VEGAS, NV
NPI1942570965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
-- BARRY D WICKLUND
7017 CARMEN BLVD
LAS VEGAS, NV 89128-3406
Phone number: 702-445-5995
Mailing Address
-- BARRY D WICKLUND
7017 CARMEN BLVD
LAS VEGAS, NV 89128-3406
Phone number: 702-445-5995