Individual
LACHARLA COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15588 BRANDT ST, ROMULUS, MI 48174-3209
(734) 272-7689
(313) 836-1190
Mailing address
15588 BRANDT ST, ROMULUS, MI 48174-3209
(734) 272-7689
(313) 836-1190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4703091414
MI
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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