Individual
TASHEEA T NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WILLRY ST FL 1, WOODBRIDGE, NJ 07095-2442
(215) 375-2831
Mailing address
55 WILLRY ST FL 1, WOODBRIDGE, NJ 07095-2442
(215) 375-2831
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
0
—
Enumeration date
10/07/2021
Last updated
10/07/2021
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