Nicholas Luke Roman
Technician, Personal Care Attendant in Allendale, MI. Individual provider (NPI-1).
NPI number1346857067
StatusActive
Last updated in NPPESSep 27, 2020
Details
- NPI
- 1346857067
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Luke Roman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2020
- Certification date
- Sep 27, 2020
- Last updated
- Sep 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
10452 Lodge DrAllendale, MI 49401-9395
Phone 586-770-6505
Mailing address
10452 Lodge DrAllendale, MI 49401-9395
Phone 586-770-6505
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