Individual
WHITNEY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2165 WHITE AVE, LINCOLN PARK, MI 48146-4511
(313) 768-7295
Mailing address
2165 WHITE AVE, LINCOLN PARK, MI 48146-4511
(313) 768-7295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114982
MI
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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