Individual
MISS NISHA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 NE 42ND PL, OCALA, FL 34479-2178
(352) 804-6260
Mailing address
2610 NE 42ND PL, OCALA, FL 34479-2178
(352) 804-6260
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
231065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598318
—
FL
Enumeration date
10/22/2015
Last updated
10/22/2015
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