Niquitisha Edmonds

NPI #1003269952 in Taylor, Michigan

Provider Information

NPI Number: 1003269952
Entity Type: Individual
Name: Niquitisha Edmonds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 15, 2016
Last Updated: Jul 15, 2016

Practice Location

Address: 22363 WOHLFEIL ST
City: Taylor
State: Michigan
ZIP Code: 48180-7203
Phone: (734) 846-1570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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