Individual
LASHONDA BRECHETTE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26159 STANFORD ST, INKSTER, MI 48141-3234
(313) 702-4513
Mailing address
26159 STANFORD ST, INKSTER, MI 48141-3234
(313) 702-4513
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121624
MI
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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