Individual
TERI SHEMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
554 EUGENE ST, YPSILANTI, MI 48198-6143
(734) 795-5167
Mailing address
554 EUGENE ST, YPSILANTI, MI 48198-6143
(734) 795-5167
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103124
MI
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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