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Individual

MS. CYNTHIA STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LRN

Contact information

Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
(313) 961-3769
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
(313) 961-3769

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704089218
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704089218
STATE LICENSE NUMBER
MA
Enumeration date
10/03/2006
Last updated
07/08/2007
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