Individual
TWANA L MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21301 SLOAN DR APT 101, HARPER WOODS, MI 48225-2434
(313) 768-4415
Mailing address
21301 SLOAN DR APT 101, HARPER WOODS, MI 48225-2434
(313) 768-4415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113155
MI
164X00000X
Licensed Vocational Nurse
4703113155
MI
Other
Enumeration date
11/20/2014
Last updated
04/16/2024
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