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Individual

TALISHA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Mailing address
11701 KENNEBEC ST, DETROIT, MI 48205-3249
(313) 784-5754

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117718
MI

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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