Provider Demographics
NPI:1942706924
Name:NASH, JOAIMY ESTEFANI
Entity Type:Individual
Prefix:
First Name:JOAIMY
Middle Name:ESTEFANI
Last Name:NASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 MIKULEC DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-4661
Mailing Address - Country:US
Mailing Address - Phone:609-346-4843
Mailing Address - Fax:
Practice Address - Street 1:2404 MIKULEC DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-4661
Practice Address - Country:US
Practice Address - Phone:609-346-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant