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Individual

GLENDA PEOPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
7920 N FOUNTAIN PARK APT 135, WESTLAND, MI 48185-4561
(313) 522-9116

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703058626
MI
164W00000X
Licensed Practical Nurse
LPN1153
NV

Other

Enumeration date
10/24/2008
Last updated
10/24/2008
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