Alica McKinney
Contractor in Romulus, MI. Individual provider (NPI-1).
NPI number1124497151
StatusActive
Last updated in NPPESSep 21, 2015
Details
- NPI
- 1124497151
- Entity type
- Individual (NPI-1)
- Name
- Alica McKinney
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2015
- Last updated
- Sep 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
28082 Riverbridge DrRomulus, MI 48174-2910
Phone 734-486-2848
Mailing address
29039 Burning Tree LnRomulus, MI 48174-3072
Phone 734-486-2848
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