Individual
CHARLES WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 E TAMI CIR APT 103, WESTLAND, MI 48186-5083
(313) 942-9839
Mailing address
275 E TAMI CIR APT 103, WESTLAND, MI 48186-5083
(313) 942-9839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704282087
MI
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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