Individual
MAYBELL WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18463 STAHELIN AVE, DETROIT, MI 48219-2803
(313) 615-7623
Mailing address
18463 STAHELIN AVE, DETROIT, MI 48219-2803
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111380
MI
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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