Individual
ERICA JUNICE MCCLENDON-WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
55856 SERENE DR, MACOMB, MI 48042-6162
(248) 894-7544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704297309
MI
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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