Most Relevant Information
Provider Data
| NPI Number: | 1003388471 |
| Provider Name: | NIKERA ISLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/26/2018 |
| Last Updated: | 12/26/2018 |
Provider Practice Location
9564 NELLIS BLVD
LAS VEGAS
NV
89115
Practice Location Phone/Fax
| Phone: | 7026659564 |
| Fax: |
Provider Mailing Location
9564 NELLIS BLVD
LAS VEGAS
NV
89115
Provider Mailing Phone/Fax
| Phone: | 7026659564 |
| Fax: |