Individual
MRS. NIKITA QUINCY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
625 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-5305
(734) 417-2607
Mailing address
625 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-5305
(734) 417-2607
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
82224471
MI
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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