Individual
AYANNA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17190 GARFIELD, REDFORD, MI 48240-2107
(313) 353-8280
Mailing address
17190 GARFIELD, REDFORD, MI 48240-2107
(313) 353-8280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118179
MI
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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