Individual
NAKEETA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3893 14TH ST, ECORSE, MI 48229-1327
(313) 394-9308
Mailing address
3893 14TH ST, ECORSE, MI 48229-1327
(313) 394-9308
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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