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Individual

DAVID NISSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NC

Contact information

Practice address
2 FLANNERY AVE, LAKEWOOD, NJ 08701-4750
(646) 262-1857
Mailing address
2 FLANNERY AVE, LAKEWOOD, NJ 08701-4750
(646) 262-1857

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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