Individual
NICCALE TENIKA ALIBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 COUNTY ROAD 300, JOURDANTON, TX 78026-5216
(847) 790-3618
Mailing address
168 N CLINTON ST FL 3, CHICAGO, IL 60661-1419
(847) 502-4898
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3083
TX
Other
Enumeration date
05/03/2018
Last updated
07/13/2021
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