Individual
SHANECIA CROXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12310 PRAIRIE DR, STERLING HEIGHTS, MI 48312-5230
(313) 693-6045
Mailing address
12310 PRAIRIE DR, STERLING HEIGHTS, MI 48312-5230
(313) 693-6045
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107177
MI
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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