Individual
MRS. PAULA JEAN HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5556 CENTRAL DR, MONROE, MI 48161-3678
(734) 790-5394
Mailing address
14930 LAPLAISANCE RD STE 127, MONROE, MI 48161-3878
(734) 344-5269
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092744
MI
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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