Individual
LUCY ETCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 CHESTNUT DR, YPSILANTI, MI 48197-1221
(248) 510-6759
Mailing address
1330 CHESTNUT DR, YPSILANTI, MI 48197-1221
(248) 510-6759
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110543
MI
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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