Individual
MS. STEPHANIE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E AVENUE D, NEWBERRY, MI 49868-1414
(906) 322-9662
Mailing address
123 S KENDALL AVE APT 201, KALAMAZOO, MI 49006-4281
(906) 322-9662
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
03/19/2020
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