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Individual

AYANA MARQUET WALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTER NURSE

Contact information

Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Mailing address
3989 ELIZABETH AVE, CANTON, MI 48188-7223
(734) 725-8142

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704349679
MI

Other

Enumeration date
07/16/2021
Last updated
07/16/2021
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