Nicole Latonya Rainey
Specialist in Rahway, NJ. Individual provider (NPI-1).
NPI number1124585682
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1124585682
- Entity type
- Individual (NPI-1)
- Name
- Nicole Latonya Rainey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2019
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 32wg06066900 | NJ | Yes |
Practice location
1204 Jaques AveRahway, NJ 07065-3928
Phone 908-405-3411
Mailing address
1204 Jaques AveRahway, NJ 07065-3928
Phone 908-405-3411
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