Individual
MISS MONICA EILEEN NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
1320 W FRESNO ST, TUCSON, AZ 85745-2707
(520) 780-9312
Mailing address
1320 W FRESNO ST, TUCSON, AZ 85745-2707
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
928162
NJ
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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