Individual
NIKIA BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Mailing address
39555 ORCHARD HILL PL STE 600, NOVI, MI 48375-5381
(248) 955-4155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119362
MI
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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