Individual
LOWELLA CAMILLE DEQUIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1039 WASHINGTON ST, DEARBORN, MI 48124-2016
(313) 563-1033
Mailing address
23481 WESTWOOD DR, BROWNSTOWN, MI 48183-3262
(734) 250-1878
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704258694
MI
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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