Graduated: 1999
Offers telehealth
NPI: 1063530434
Practice Locations (2)
A NICKNAM PC
4060 N MARTIN L KING BLVD, SUITE 101
N LAS VEGAS, NV 890323213
A NICKNAM PC
4060 N MARTIN L KING BLVD, SUITE 101 A B
NORTH LAS VEGAS, NV 890323213
7023801712
Source: CMS National Downloadable File, September 2026.