Individual
MS. PATRICIA ANN SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-1960
(313) 369-1977
Mailing address
30720 VERNON DR, BEVERLY HILLS, MI 48025-4947
(248) 594-4211
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704085087
MI
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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