Individual
LAKIESHA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 ROLAN MEADOWS DR, VAN BUREN TWP, MI 48111-8104
(586) 553-4550
(734) 391-8272
Mailing address
PO BOX 572, MOUNT CLEMENS, MI 48046-0572
(586) 553-4550
(734) 391-8272
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
MI
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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