Individual
MS. NICOLE LASHAWN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4533 ST CLAIR ST, DETROIT, MI 48214
(313) 821-6309
Mailing address
4533 ST CLAIR ST, DETROIT, MI 48214
(313) 821-6309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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