Individual
MARLEESHA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
16566 CHEYENNE ST, DETROIT, MI 48235-4219
(313) 762-7073
Mailing address
16566 CHEYENNE ST, DETROIT, MI 48235-4219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129224
MI
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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