Individual
MS. MARQUITA MONIQUE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34290 FORD RD, WESTLAND, MI 48185-3051
(734) 412-8800
Mailing address
34290 FORD RD, WESTLAND, MI 48185-3051
(734) 412-8800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704340478
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704340478
MI
164W00000X
Licensed Practical Nurse
4703111212
MI
Other
Enumeration date
05/22/2014
Last updated
04/07/2026
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