Individual
XAVIER LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 WOODCREEK CT, YPSILANTI, MI 48198-7529
(734) 369-7670
Mailing address
771 WOODCREEK CT, YPSILANTI, MI 48198-7529
(734) 369-7670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115161
MI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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