Individual
NIKITA LAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36581 FARMBROOK DR, CLINTON TOWNSHIP, MI 48035-1520
(313) 753-5102
Mailing address
36581 FARMBROOK DR, CLINTON TOWNSHIP, MI 48035-1520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115656
MI
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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