Individual
LISA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 W 4TH AVE, FLINT, MI 48503-2404
(810) 814-9973
Mailing address
6387 RUSTIC RIDGE TRL, GRAND BLANC, MI 48439-4958
(810) 814-9973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704240484
MI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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