Individual
CHARMAINE MONIQUE MCKNUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 IROQUOIS AVE, FLINT, MI 48505-4048
(248) 214-9085
Mailing address
3108 IROQUOIS AVE, FLINT, MI 48505-4048
(810) 882-8658
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
M252115609409
MI
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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