Individual
SANDRA ANN LUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21885 DUNHAM RD, CLINTON TWP, MI 48036-1030
(586) 469-6419
Mailing address
23459 STONE CASTLE DR, CLINTON TOWNSHIP, MI 48036-4607
(586) 469-6419
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4704118787
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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