Individual
NISHAYA MCNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
31 W ORCHARD ST APT 2, SOMERVILLE, NJ 08876-1654
(732) 253-2709
Mailing address
31 W ORCHARD ST APT 2, SOMERVILLE, NJ 08876-1654
(732) 253-2709
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
187124
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09110105
09110105
NJ
Enumeration date
06/23/2020
Last updated
06/23/2020
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