Individual
MS. NIKELIA CHISOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CENTERPOINT DR, MIDDLETOWN, CT 06457-7570
(860) 438-8950
Mailing address
211H W 151ST ST APT 2A, NEW YORK, NY 10039-1965
(917) 536-6306
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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