Individual
MS. NINI ASHEKI GREENIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13708 PASEO SERENO DR, HORIZON CITY, TX 79928-8430
(201) 737-2031
Mailing address
13708 PASEO SERENO DR, HORIZON CITY, TX 79928-8430
(201) 737-2031
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Q0000X
22 RESPIRATORY DEVELOPMENT RESPIRATORY SERVICES PROVIDER
TX
Enumeration date
09/02/2011
Last updated
09/02/2011
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