Individual
BROOKE HEMRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 KAYE LANI AVE, MONROE, MI 48161-2489
(734) 757-0655
Mailing address
542 KAYE LANI AVE, MONROE, MI 48161-2489
(734) 757-0655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112998
MI
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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