Individual
PATRICIA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8151 BROOKE PARK DR, CANTON, MI 48187-5113
(734) 846-8962
Mailing address
8151 BROOKE PARK DR, CANTON, MI 48187-5113
(734) 846-8962
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117499
MI
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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