Individual
NIKETA N WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17840 LAUREL PARK, 914, LIVONIA, MI 48152
(248) 882-2046
Mailing address
7870 N FOUNTAIN PARK APT 206, WESTLAND, MI 48185-4567
(124) 888-2204
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7890928
—
MI
Enumeration date
06/07/2022
Last updated
06/07/2022
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