Individual
SHAKIRAH L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11512 CHRISTY ST, DETROIT, MI 48205-4710
(586) 356-9400
Mailing address
20600 PEMBROKE AVE, DETROIT, MI 48219-2026
(313) 208-4814
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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