IVAN NIKIFOROV

BRICK, NJ
NPI1205414687
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-29
Last Update Date2021-03-29
Business Address
IVAN NIKIFOROV
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-840-2200
Mailing Address
IVAN NIKIFOROV
1570 BROOKLINE DR
HUMMELSTOWN, PA 17036-8987
Phone number: 717-303-9123
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