Individual
PRISCILLA PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30555 SANDHURST DR, APT 104, ROSEVILLE, MI 48066-7716
(586) 738-4457
Mailing address
30555 SANDHURST DR, APT 104, ROSEVILLE, MI 48066-7716
(586) 738-4457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109623
MI
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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