Individual
MS. NINA NKEM
Active
Individual
MS. NINA NKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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