Individual
LENEE POWELL-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4619 FOX VALLEY DR APT 2A, PORTAGE, MI 49024-8197
(630) 205-6137
Mailing address
4619 FOX VALLEY DR APT 2A, PORTAGE, MI 49024-8197
(630) 205-6137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704283731
MI
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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