Individual
ANTOINETTE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16828 ARDMORE ST, DETROIT, MI 48235-4053
(313) 742-0113
Mailing address
16828 ARDMORE ST, DETROIT, MI 48235-4053
(313) 742-0113
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230235970998
MI
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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