NIKO PURTSELADZE

FRISCO, TX
NPI1588477723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-01-30
Last Update Date2025-01-30
Business Address
NIKO PURTSELADZE
8209 BURLEIGH ST
FRISCO, TX 75035-7315
Phone number: 469-818-0864
Mailing Address
NIKO PURTSELADZE
8209 BURLEIGH ST
FRISCO, TX 75035-7315
Phone number: 469-818-0864