Individual
MAXINE RUTH CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7430 N INKSTER RD, DEARBORN HEIGHTS, MI 48127-1668
(734) 274-7879
(734) 274-7933
Mailing address
7430 N INKSTER RD, DEARBORN HEIGHTS, MI 48127-1668
(734) 274-7879
(734) 274-7933
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113900
MI
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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