Individual
STACEY HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20150 SHERWOOD RD, BELLEVILLE, MI 48111-9377
(248) 595-9992
Mailing address
20150 SHERWOOD RD, BELLEVILLE, MI 48111-9377
(248) 595-9992
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703102369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703102369
LPN
MI
Enumeration date
06/02/2014
Last updated
06/02/2014
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