Organization
PHLEBOTOMY CAREER TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. NANCY LYDIA KIMMEL FNP-BC (ADMINISTRATOR)
(313) 826-2381
Entity
Organization
Contact information
Practice address
28050 FORD RD STE C, GARDEN CITY, MI 48135-2967
(313) 826-2381
Mailing address
28050 FORD RD STE B, GARDEN CITY, MI 48135-2967
(313) 826-2381
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
4704260062
MI
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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