Individual
MS. AVIS COLLEEN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41621 WEST ELEVEN MILE RD., CENTRIA HEALTH CARE, NOVI, MI 48375
(248) 299-0030
(248) 438-1566
Mailing address
41621 WEST ELEVEN MILE RD., CENTRIA HEALTH CARE, NOVI, MI 48375
(248) 299-0030
(248) 438-1566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703053762
MI
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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