Individual
SONYA LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13565 SAINT MARYS ST, DETROIT, MI 48227-1732
(313) 629-5395
Mailing address
13565 SAINT MARYS ST, DETROIT, MI 48227-1732
(313) 629-5395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104583
MI
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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