Aj Duane Nicholas
NPI #1518627314 in Patuxent River, Maryland
Provider Information
- NPI Number
- 1518627314
- Entity Type
- Individual
- Name
- Aj Duane Nicholas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 21, 2021
- Last Updated
- Dec 21, 2021
Practice Location
- Address
- 47149 BUSE RD BLDG 1370
- City
- Patuxent River
- State
- Maryland
- ZIP Code
- 20670-1540
- Phone
- (301) 342-1499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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