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Individual

NISREEN TAYEBJEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
13215
TX
111NN0400X
Neurology Chiropractor
Primary
34078
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13215
CHIROPRACTOR LICENSE
TX
01
34078
CHIROPRACTIC LICENSE
CA
Enumeration date
05/18/2016
Last updated
03/02/2020
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