Individual
NISHAYA SHAWNTE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5232 NEWBERRY ST, WAYNE, MI 48184-2307
(313) 348-1769
Mailing address
5232 NEWBERRY ST, WAYNE, MI 48184-2307
(313) 348-1769
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000005710
MI
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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