Provider Demographics
NPI:1932062817
Name:ABORDO, AZHA JUSTYNE
Entity type:Individual
Prefix:MS
First Name:AZHA
Middle Name:JUSTYNE
Last Name:ABORDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AZHA
Other - Middle Name:JUSTYNE
Other - Last Name:RIVERA-JACINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:375 CONESTOGA WAY UNIT 2814
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-1101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:375 CONESTOGA WAY UNIT 2814
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-1101
Practice Address - Country:US
Practice Address - Phone:808-720-7235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVMT.10813225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty