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Individual

NIXON FRU NCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(651) 210-8051
Mailing address
14019 CASTLE BLVD APT 303, SILVER SPRING, MD 20904-4716
(301) 232-4760

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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