Individual
NKEMJIKA IRIS ODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 N GREEN VALLEY PKWY STE 812, HENDERSON, NV 89014-0409
(702) 861-1875
(210) 892-3616
Mailing address
5 LANE LN, SHERIDAN, WY 82801-8630
(307) 674-6878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/10/2012
Last updated
04/07/2020
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