Individual
ALEXIS NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2175 E WILLIS ST, DETROIT, MI 48207-1415
(313) 598-2576
Mailing address
PO BOX 2520, BELLEVILLE, MI 48112-2520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110652
MI
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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