Individual
SANDRA STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8102 CADILLAC AVE, WARREN, MI 48089-2366
(586) 443-0949
Mailing address
8102 CADILLAC AVE, WARREN, MI 48089-2366
(586) 443-0949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703091619
MI
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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