Individual
MR. MICK ALLEN PRESTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
3203057152
MI
163W00000X
Registered Nurse
Primary
4704359441
MI
Other
Enumeration date
09/01/2016
Last updated
03/03/2020
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