Individual
CHARLENE CORNETT TEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 912-1165
(248) 912-0077
Mailing address
28506 HENNEPIN ST, GARDEN CITY, MI 48135-2875
(734) 751-3391
(248) 912-1165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4704155629
MI
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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