Individual
SONTA CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN NURSE
Contact information
Practice address
15575 LAKESIDE VILLAGE DR APT 305, CLINTON TOWNSHIP, MI 48038-6024
(313) 929-5432
Mailing address
15575 LAKESIDE VILLAGE DR APT 305, CLINTON TOWNSHIP, MI 48038-6024
(313) 929-5432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126744
MI
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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