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Dominic Anthony Nichilo
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1699361196

Dominic Anthony Nichilo is a Student in an Organized Health Care Education/Training Program based in Fairfax, VA. Dominic Anthony Nichilo practices in Fairfax, VA. The NPI Number for Dominic Anthony Nichilo is 1699361196 and holds a License No. (Virginia).

The current practice location address for Dominic Anthony Nichilo is 9904 Fairfax Sq Apt 164, Fairfax, VA and can be reached out via phone at 571-246-2587.

Location: 9904 Fairfax Sq Apt 164, Fairfax, VA, 22031-4204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699361196
Provider Name
Dominic Anthony Nichilo
Credential
Provider Entity Type
Individual
Gender
Male
Address
9904 Fairfax Sq Apt 164, Fairfax, VA, 22031-4204
Phone Number
571-246-2587
Fax Number
Provider Enumeration Date
12/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9904 Fairfax Sq Apt 164
City
Fairfax
State
Virginia
Zip
22031-4204
Phone Number
571-246-2587
Fax Number
person
Provider Business Mailing Address Details
Address
9904 Fairfax Sq Apt 164
City
Fairfax
State
Virginia
Zip
22031-4204
Phone Number
571-246-2587
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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