Individual
JACQUELINE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7452 RUTHERFORD ST, DETROIT, MI 48228-3652
(313) 584-7932
Mailing address
7452 RUTHERFORD ST, DETROIT, MI 48228-3652
(313) 584-7932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704292280
MI
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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