Individual
PERTHIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27253 HIDDEN OAKS DR, TRENTON, MI 48183-3061
(313) 282-6664
Mailing address
27253 HIDDEN OAKS DR, TRENTON, MI 48183-3061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110826
MI
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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