Individual
REGINA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18831 HASSE ST, DETROIT, MI 48234-2141
(586) 625-6139
Mailing address
18831 HASSE ST, DETROIT, MI 48234-2141
(586) 625-6139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121239
MI
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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