Search › Nevada › 373H00000X
Marissa Wicklund
NPI 1033457742 · on the registry since 2013 · sole proprietor
Practice
- Address
- 7017 Carmen Blvd
Las Vegas, NV 89128 - Phone
- (702) 445-5995
- Organisation at this address
- Lucky Star Care Home Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 373H00000X
373H00000X
- Also registered as
- 374U00000X
- Sex
- Female
- Record last updated
- 2013-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada