Individual
JASON NIKOUYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 4TH ST SW, CONOVER, NC 28613-2638
(828) 464-3715
Mailing address
282 N EMILY CT, HIGH POINT, NC 27265-7666
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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