Individual
DIEDRA GILCHREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7930 N FOUNTAIN PARK, APT 28, WESTLAND, MI 48185-4502
(313) 205-0234
Mailing address
7930 N FOUNTAIN PARK, APT 28, WESTLAND, MI 48185-4502
(313) 205-0234
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703065927
MI
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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