Individual
SANDRA MARIA MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44695 FOREST TRAIL DR, CANTON, MI 48187-1704
(734) 546-2033
Mailing address
44695 FOREST TRAIL DR, CANTON, MI 48187-1704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704228891
MI
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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