MIRTA NICOLAS

SPRING VALLEY, NY
NPI1730881459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2023-03-17
Last Update Date2023-03-17
Business Address
MIRTA NICOLAS
22 JOHN ST
SPRING VALLEY, NY 10977-5733
Phone number: 845-659-2845
Mailing Address
MIRTA NICOLAS
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: