Individual
ASHLEA CATHERINE CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 BOGUE ST, EAST LANSING, MI 48824-6207
(248) 214-5729
Mailing address
1355 BOGUE ST, EAST LANSING, MI 48824-6207
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704329677
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704329677
MI
Other
Enumeration date
07/24/2022
Last updated
03/20/2024
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