DERRICK F NIBA

TYLER, TX
NPI1114404498
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  230831)
Enumeration Date2018-07-19
Last Update Date2018-07-19
Business Address
DERRICK F NIBA
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
Mailing Address
DERRICK F NIBA
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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