Individual
MRS. SARA LYN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
921 HOWARD ST, DEARBORN, MI 48124-2210
(248) 459-0514
Mailing address
921 HOWARD ST, DEARBORN, MI 48124-2210
(248) 459-0514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704289372
MI
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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