Individual
TAKEISHA LATRICE ZEIGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
22525 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-2433
(754) 207-5634
Mailing address
22525 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-2433
(754) 207-5634
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704317210
MI
164W00000X
Licensed Practical Nurse
5188499
FL
Other
Enumeration date
08/10/2011
Last updated
08/11/2020
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