Individual
DENISE LATRICE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
48240 PONTIAC TRL APT 102, WIXOM, MI 48393-2513
(313) 784-8080
Mailing address
48240 PONTIAC TRL APT 102, WIXOM, MI 48393-2513
(313) 784-8080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129840
MI
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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