Most Relevant Information
Provider Data
| NPI Number: | 1003348616 |
| Provider Name: | NADDIA BASKIN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703111557 |
Most Important Dates
| Enumeration Date: | 04/02/2017 |
| Last Updated: | 04/02/2017 |
Provider Practice Location
43825 MICHIGAN AVE
CANTON
MI
481882551
Practice Location Phone/Fax
| Phone: | 7343973088 |
| Fax: |
Provider Mailing Location
6090 MARVIN ST
TAYLOR
MI
481801140
Provider Mailing Phone/Fax
| Phone: | 8103369035 |
| Fax: |