Individual
NICOLE FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4452 N ELMS RD, FLUSHING, MI 48433-1449
(248) 884-4421
Mailing address
4452 N ELMS RD, FLUSHING, MI 48433-1449
(248) 884-4421
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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