Individual
BONITA ANISE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41795 W 12 MILE RD, NOVI, MI 48377-3107
(248) 449-1655
(248) 449-1637
Mailing address
41795 W 12 MILE RD, NOVI, MI 48377-3107
(248) 449-1655
(248) 449-1637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703058286
MI
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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