Mikaila Bennett
Technician, Other in Livonia, MI. Individual provider (NPI-1).
NPI number1609623156
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1609623156
- Entity type
- Individual (NPI-1)
- Name
- Mikaila Bennett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | MI | Yes |
Practice location
29550 Five Mile RdLivonia, MI 48154-3710
Phone 800-395-3223 · Fax 248-620-6405
Mailing address
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223 · Fax 248-620-6405
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