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Individual

KATHRYN LYTTLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19940 STANLEY ST, MELVINDALE, MI 48122-1869
(419) 348-3033
Mailing address
19940 STANLEY ST, MELVINDALE, MI 48122-1869

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703125708
MI
172A00000X
Driver
Primary

Other

Enumeration date
10/22/2024
Last updated
10/22/2024
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