PHANITRA NICOLE WILSON

LANSING, MI
NPI1619592003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703120709)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
PHANITRA NICOLE WILSON LPN
2700 EATON RAPIDS RD LOT 184
LANSING, MI 48911-6323
Phone number: 517-575-3129
Mailing Address
PHANITRA NICOLE WILSON LPN
2700 EATON RAPIDS RD LOT 184
LANSING, MI 48911-6323
Phone number: 517-575-3129
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