Individual
MRS. FELICIA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30830 STONE RIDGE DR, APT 6116, WIXOM, MI 48393-3809
(248) 469-9395
Mailing address
30830 STONE RIDGE DR, APT 6116, WIXOM, MI 48393-3809
(248) 469-9395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107551
MI
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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