Individual
NICHOLAS GICHUKI MWANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
195 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-1755
(973) 295-6335
Mailing address
52 HOY AVE, FORDS, NJ 08863-1942
(732) 986-7389
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NJ01147600
NJ
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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