Individual
ALICIA WELBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20433 MEYERS RD, DETROIT, MI 48235-1108
(313) 996-9825
Mailing address
20433 MEYERS RD, DETROIT, MI 48235-1108
(313) 996-9825
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110966
MI
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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