Individual
MAE LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5229 W MICHIGAN AVE LOT 333, YPSILANTI, MI 48197-9169
(734) 445-9198
Mailing address
5229 W MICHIGAN AVE LOT 333, YPSILANTI, MI 48197-9169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704166120
MI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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