Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 5101011680 | MI |
NPI | 1063482099 |
---|---|
Provider Name | Nicolo Leone |
First Address | Detroit, MI 48267-0660 |
Second Address | Grosse Pointe Farms, MI 48236-3610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F74660 | (02) |