Individual
MISS NICKI MARYANN MULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1634 GULL RD, SUITE1, KALAMAZOO, MI 49048-1632
(269) 343-2601
Mailing address
124 HAYMAC DR, PARCHMENT, MI 49004-1733
(269) 382-6975
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000062
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4678265
—
MI
05
—
4793848
—
MI
Enumeration date
09/26/2006
Last updated
07/09/2007
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