Individual
NELVITA GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19510 W 11 MILE RD, LATHRUP VILLAGE, MI 48076-3234
(248) 760-8404
(248) 796-7880
Mailing address
19510 W 11 MILE RD, LATHRUP VILLAGE, MI 48076-3234
(248) 760-8404
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110439
MI
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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