Individual
MARY PATRICIA SIKANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
984 4 MILE RD NW, GRAND RAPIDS, MI 49544-7355
(616) 648-5390
Mailing address
984 4 MILE RD NW, GRAND RAPIDS, MI 49544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102294
MI
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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