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Organization

NIKKORA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARCUS K SIMPSON (MANAGING MEMBER)
(203) 204-2874
Entity
Organization

Contact information

Practice address
1730 POST RD, WARWICK, RI 02888-5941
(203) 204-2874
(860) 865-0350
Mailing address
1730 POST RD, WARWICK, RI 02888-5941
(203) 204-2874
(860) 865-0350

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
07/22/2015
Last updated
07/22/2015
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