Individual
XHESIKA TASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44208 ORCHARD LN, STERLING HEIGHTS, MI 48313
(586) 420-0385
Mailing address
44209 ORCHARD LN, STERLING HEIGHTS, MI 48313-1529
(586) 420-0385
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115320
MI
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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