| Kenisha Rotibi | |
|
5963 Ridgeway Dr Grand Prairie TX 75052-0444 | |
| (972) 890-6101 | |
| Not Available |
| Full Name | Kenisha Rotibi |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5963 Ridgeway Dr, Grand Prairie, Texas |
| Authorized Official Name and Position | Kenisha Rotibi (OWNER) |
| Authorized Official Contact | 9728906101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenisha Rotibi 5963 Ridgeway Dr Grand Prairie TX 75052-0444 Ph: () - | Kenisha Rotibi 5963 Ridgeway Dr Grand Prairie TX 75052-0444 Ph: (972) 890-6101 |
| NPI Number | 1245929108 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245929108 | NPI | - | NPPES |
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