Individual
MS. DEZIRAE JEAN SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
59 CARMELL ST, BELLEVILLE, MI 48111-2948
(517) 227-0191
Mailing address
59 CARMELL ST, BELLEVILLE, MI 48111-2948
(517) 227-0191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110374
MI
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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