JEWEL OPAL AMETHYST NICHOLSON

FORT LAUDERDALE, FL
NPI1801301809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2017-12-13
Last Update Date2018-03-17
Business Address
JEWEL OPAL AMETHYST NICHOLSON COTA/L
1615 MIAMI RD
FORT LAUDERDALE, FL 33316-2933
Phone number: 954-523-5673
Mailing Address
JEWEL OPAL AMETHYST NICHOLSON COTA/L
5903 LONDON LN
TAMARAC, FL 33321-4186
Phone number: 646-379-6232