Individual
NICKSON HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 PORTOFINO WAY APT 201, WEST PALM BEACH, FL 33409-8174
(754) 368-6743
Mailing address
4700 PORTOFINO WAY APT 201, WEST PALM BEACH, FL 33409-8174
(754) 368-6743
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
NJDCATEMP-000734
NJ
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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