Individual
NIKEBA SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11630 BIRWOOD ST, DETROIT, MI 48204-1922
(313) 784-0734
Mailing address
9606 E OUTER DR, DETROIT, MI 48213-1586
(313) 482-5116
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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