Individual
RONISHA DENISE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
(248) 438-1566
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
(248) 438-1566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107983
MI
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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