SearchMichigan225X00000X

Nicole Dicicco

NPI 1437639077 · on the registry since 2018 · sole proprietor

Practice

Address
1500 Mulberry St
Mount Clemens, MI 48043
Phone
(586) 461-3992

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan