Individual
NICOLE OBENSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 BREAKERS DR, MANAHAWKIN, NJ 08050-5118
(908) 910-2428
Mailing address
1675 BREAKERS DR, MANAHAWKIN, NJ 08050-5118
(908) 910-2428
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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