Individual
MRS. TERRA LEE CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., BSN., CDE
Contact information
Practice address
3031 W GRAND BLVD STE 800, DETROIT, MI 48202-3141
(313) 916-7359
(313) 916-9027
Mailing address
12438 MEANDER, TECUMSEH, ONTARIO N8N4P-3
(519) 979-0658
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704186479
MI
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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