NPI 1033457742
Marissa Wicklund
Practice location
- Address
- 7017 Carmen Blvd, Las Vegas, NV 89128-3406
- Phone
- (702) 445-5995
Registered specialties (2)
Day Training/Habilitation Specialist
Primary
Home Health Aide
Registry record
- NPI
- 1033457742
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jan 2013
- Record last updated
- 30 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.