Individual
NIKKI LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 CHARTIER, MARINE CITY, MI 48039-2319
(810) 580-8266
Mailing address
806 CHARTIER, MARINE CITY, MI 48039-2319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121681
MI
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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