ISRAEL NIETO

GARY, IN
NPI1952890352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007936A)
Enumeration Date2018-05-02
Last Update Date2024-09-09
Business Address
ISRAEL NIETO
4900 BROADWAY
GARY, IN 46408-4605
Phone number: 219-237-5170
Mailing Address
ISRAEL NIETO
PO BOX 746721
ATLANTA, GA 30374-6721
Phone number: 773-352-1515
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