Individual
TOMURA SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4176 WALNUT ST, INKSTER, MI 48141-2957
(313) 721-2929
Mailing address
4176 WALNUT ST, INKSTER, MI 48141-2957
(313) 721-2929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113891
MI
Other
Enumeration date
12/04/2015
Last updated
12/10/2024
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