Individual
ANASTASIA RECKLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
4777 SYCAMORE DR, YPSILANTI, MI 48197-8234
(843) 504-6778
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704324801
MI
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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