Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 846-0809 | NH |
NPI | 1497906408 |
---|---|
Provider Name | Dr. Nichia M. Faria |
First Address | Rochester, NH 03866-1634 |
Second Address | Rochester, NH 03867-1728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 16/11/2011 |