Individual
MARY WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 238-7226
(810) 239-5518
Mailing address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 238-7226
(810) 239-5518
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704357154
MI
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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