Individual
ALESEA CHEATHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 COMANCHE AVE, FLINT, MI 48507-4308
(810) 308-7192
Mailing address
3201 COMANCHE AVE, FLINT, MI 48507-4308
(810) 308-7192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703124319
MI
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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