Individual
CHERELL BURKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19420 FERGUSON ST, DETROIT, MI 48235-2417
(734) 658-2857
Mailing address
19420 FERGUSON ST, DETROIT, MI 48235-2417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119792
MI
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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