Individual
MEMPHIE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91527 CHESHIRE ST., GROSSE POINTE, MI 48236
(313) 550-4637
Mailing address
91527 CHESHIRE ST., GROSSE POINTE, MI 48236
(313) 550-4637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703064230
MI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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