Individual
LAQUIN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18768 ELKHART ST, HARPER WOODS, MI 48225-2104
(313) 459-6218
Mailing address
18768 ELKHART ST, HARPER WOODS, MI 48225-2104
(313) 459-6218
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115836
MI
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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