Individual
SHOSHANNA LEONA GEFTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3250 N MONROE ST STE 2, MONROE, MI 48162-9297
(734) 384-3121
Mailing address
4982 SYCAMORE RD, NEWPORT, MI 48166-9015
(734) 790-1923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122553
MI
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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