Provider Demographics
NPI:1043655475
Name:ONDINA, AIDA J
Entity type:Individual
Prefix:
First Name:AIDA
Middle Name:J
Last Name:ONDINA
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 1:8101 W FLAMINGO RD
Mailing Address - Street 2:APT 2029
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-7408
Mailing Address - Country:US
Mailing Address - Phone:702-816-7223
Mailing Address - Fax:
Practice Address - Street 1:8101 W FLAMINGO RD
Practice Address - Street 2:APT 2029
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-7408
Practice Address - Country:US
Practice Address - Phone:702-816-7223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor