Individual
NICOLE COMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13518 ARCHDALE ST, DETROIT, MI 48227-1336
(313) 576-6524
Mailing address
13518 ARCHDALE ST, DETROIT, MI 48227-1336
(313) 576-6524
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8030681
—
MI
Enumeration date
09/06/2016
Last updated
09/06/2016
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