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Individual
NIJAH M CHINN
Active
Individual
NIJAH M CHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MHA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386872968
—
VA
01
—
192946
BCBS (PHYSICAL THERAPY)
VA
01
—
4651942
AETNA
VA
01
—
P00726345
RAILROAD MEDICARE
VA
Enumeration date
06/23/2009
Last updated
08/20/2009
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