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Individual

NICHELLE WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16033 TERRACE VILLAGE DR, TAYLOR, MI 48180-4903
(313) 740-5428
Mailing address
16033 TERRACE VILLAGE DR, TAYLOR, MI 48180-4903

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118946
MI

Other

Enumeration date
12/28/2017
Last updated
12/28/2017
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