Individual
MS. AQUANETTA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11699 ASHTON AVE, DETROIT, MI 48228-1137
(313) 434-1435
Mailing address
11699 ASHTON AVE, DETROIT, MI 48228-1137
(313) 434-1435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704205890
MI
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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