Individual
NICHOL SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 29TH ST, PATERSON, NJ 07514-1818
(973) 930-0052
Mailing address
377 VALLEY RD # 1117, CLIFTON, NJ 07013-1319
(973) 930-0052
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A3696285
NJ
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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