Individual
IZABEL ZANE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 RIVERVIEW AVE, MONROE, MI 48162-2665
(734) 322-7661
Mailing address
148 RIVERVIEW AVE, MONROE, MI 48162-2665
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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