Individual
IDA HORN-LARKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
21854 COLONY PARK CIR, SOUTHFIELD, MI 48076-5214
(313) 719-8452
Mailing address
21854 COLONY PARK CIR, SOUTHFIELD, MI 48076-5214
(313) 719-8452
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703030835
MI
Other
Enumeration date
12/04/2015
Last updated
12/07/2015
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