Individual
CHANEL LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35717 GARNER ST, ROMULUS, MI 48174-4127
(734) 394-7649
Mailing address
35717 GARNER ST, ROMULUS, MI 48174-4127
(734) 394-7649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115764
MI
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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