Individual
MARILYN LOUGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 BROOKWOOD DR, UNIT 7, SOUTH LYON, MI 48178-1847
(248) 756-8952
Mailing address
249 BROOKWOOD DR, UNIT 7, SOUTH LYON, MI 48178-1847
(248) 756-8952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704305444
MI
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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