Individual
ASIA N/A NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1473 YORKTOWN DR, ABILENE, TX 79603-4209
(325) 864-5624
Mailing address
1473 YORKTOWN DR, ABILENE, TX 79603-4209
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
331521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123611951
GROUP TERM LIFE
—
Enumeration date
02/22/2018
Last updated
02/22/2018
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