Individual
ANETIA SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42162 GLADWIN ST, NORTHVILLE, MI 48167-2404
(248) 635-0340
Mailing address
42162 GLADWIN ST, NORTHVILLE, MI 48167-2404
(248) 635-0340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106055
MI
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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