Individual
JACQUELINE ELAINE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
10895 OAK LN APT 15103, VAN BUREN TWP, MI 48111-4731
(313) 681-9576
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4703116196
MI
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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