Individual
LACHELLE MYLINDA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18060 GRUEBNER ST, DETROIT, MI 48234-3854
(586) 480-6579
Mailing address
18060 GRUEBNER ST, DETROIT, MI 48234-3854
(586) 480-6579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121716
MI
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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