Individual
JASON NICOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-5321
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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