SearchMichigan251E00000X

Charmaine Mcknuckle

NPI 1962083782 · on the registry since 2021 · sole proprietor

Practice

Address
3108 Iroquois Ave
Flint, MI 48505
Phone
(248) 214-9085

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-15

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