Individual
CHIKA HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
(734) 844-6533
Mailing address
14975 OXFORD CT, SOUTHGATE, MI 48195-2325
(734) 844-6533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
189124
MI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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