Individual
VIRGAS NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19446 FORRER ST, DETROIT, MI 48235-2305
(313) 457-5570
Mailing address
19446 FORRER ST, DETROIT, MI 48235-2305
(313) 457-5570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092324
MI
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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