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Individual
DERRICK F NIBA
Active
Individual
DERRICK F NIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
1062450
TX
Other
Enumeration date
07/19/2018
Last updated
01/14/2025
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