Individual
LEONARD MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42259 FOUNTAIN PARK DR N, APT 5B 231, NOVI, MI 48375-2541
(734) 358-5783
Mailing address
42259 FOUNTAIN PARK DR N, APT 5B 231, NOVI, MI 48375-2541
(734) 358-5783
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105535
MI
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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