Individual
MS. ADELINA BASTE MCCAULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17520 W 12 MILE RD STE 110, SOUTHFIELD, MI 48076-1902
(248) 281-6880
(248) 281-6871
Mailing address
29774 GUY ST, SOUTHFIELD, MI 48076-1886
(248) 866-3877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704147594
MI
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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