Individual
ALISHA KOVENICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3250 N MONROE ST, MONROE, MI 48162
(734) 384-3402
(734) 384-3158
Mailing address
3250 N MONROE ST, MONROE, MI 48162-9297
(734) 384-3402
(734) 384-3158
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111449
MI
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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