Individual
NICOLE SYMONE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
936 JORDAN DR, TROY, MI 48098-5628
(248) 495-6423
Mailing address
936 JORDAN DR, TROY, MI 48098-5628
(248) 495-6423
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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