Individual
ALISHA HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20514 STANSBURY ST, DETROIT, MI 48235-1596
(313) 704-8211
Mailing address
20514 STANSBURY ST, DETROIT, MI 48235-1596
(313) 704-8211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115364
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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