Individual
MARY MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7136 SUNSET CT, WHITE LAKE, MI 48383-2869
(313) 595-7204
Mailing address
7136 SUNSET CT, WHITE LAKE, MI 48383-2869
(313) 595-7204
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704283139
MI
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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