Individual
ILENE TRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
Mailing address
474 N CROOKS RD, CLAWSON, MI 48017-1382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704125247
MI
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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