Individual
NICOLE FAIRFAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 56TH ST # 1, WEST NEW YORK, NJ 07093-2133
(646) 905-9558
Mailing address
431 56TH ST # 1, WEST NEW YORK, NJ 07093-2133
(646) 905-9558
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26NH19618000
NJ
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
About Stedi
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