Individual
AMIE WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 747-3727
Mailing address
319 CLARK ST, CLINTON, MI 49236-9562
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703096983
MI
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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