Individual
LASHAUNTA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20311 KEYSTONE ST, DETROIT, MI 48234-2341
(313) 671-5904
Mailing address
20311 KEYSTONE ST, DETROIT, MI 48234-2341
(313) 671-5904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704270886
MI
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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