NPI 1003231523

Gregory Aifehiengbe Idoni

Practitioner Nursing Home Administrator Fresno, CA

Practice location

Address: 3618 W Dayton Ave, Fresno, CA 93722-4704
Phone: (559) 275-2488
Fax: (559) 275-2488

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence 107206634 (CA)

Other Nursing Home Administrator providers in California →

Registry record

NPI: 1003231523
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2014
Record last updated: 19 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.