Individual
DANIELLE WICKINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3844 SENECA DR, BURTCHVILLE, MI 48059-2596
(810) 242-9321
Mailing address
3844 SENECA DR, BURTCHVILLE, MI 48059-2596
(810) 242-9321
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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