Individual
MARY DOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3619
Mailing address
12006 NORBORNE, REDFORD, MI 48239-2410
(313) 910-6135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103014
MI
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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