Individual
MISS LINDA PIPPEN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(800) 475-3203
Mailing address
19945 MOROSS RD, DETROIT, MI 48224-1122
(313) 978-5107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4603062439
MI
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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