Individual
MS. DAHLIA M NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 998-0200
Mailing address
69 MCNOMEE ST, OAKLAND, NJ 07436-2608
(929) 271-7316
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
546818
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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