Individual
NATALIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19735 FAUST AVE, DETROIT, MI 48219-2116
(313) 595-3066
Mailing address
19735 FAUST AVE, DETROIT, MI 48219-2116
(313) 595-3066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105656
MI
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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