Individual
MRS. ADDIE M POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
4777 E OUTER DR, DETROIT, MI 48234-3241
(313) 369-1960
(313) 369-1977
Mailing address
20053 SAINT MARYS ST, DETROIT, MI 48235-2330
(313) 653-5741
(313) 653-5746
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089489
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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