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Individual

LIZ KIMBERLY VIDANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1983 SPRUCEWOOD DR, STERLING HEIGHTS, MI 48310-5867
(248) 797-4536
Mailing address
1983 SPRUCEWOOD DR, STERLING HEIGHTS, MI 48310-5867
(248) 797-4536

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704363223
MI

Other

Enumeration date
12/02/2020
Last updated
12/02/2020
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