Individual
LONETTE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
8200 E JEFFERSON AVE APT 1105, DETROIT, MI 48214-3960
(313) 663-4254
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
4704202302
MI
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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