Individual
ERICA WHITELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
Mailing address
62 W 7 MILE RD, DETROIT, MI 48203-1967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704289623
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
07/12/2018
Last updated
12/03/2021
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