Individual
MRS. DIEDRA LYNN MCCLERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5149 SAINT CLAIR ST, DETROIT, MI 48213-4300
(313) 721-7215
Mailing address
42590 STEPNITZ DR, CLINTON TOWNSHIP, MI 48036-3161
(586) 954-1838
(586) 649-2620
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703064653
MI
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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