Individual
GRETA GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19989 WARD ST, DETROIT, MI 48235-1140
(313) 681-1121
Mailing address
19989 WARD ST, DETROIT, MI 48235-1140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129077
MI
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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