Individual
NAKIA NIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 ROSEDALE ST, HOUSTON, TX 77004-6272
(347) 583-7911
Mailing address
11944 195TH ST, SAINT ALBANS, NY 11412-3716
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
386371378
NY
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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