Individual
ALICE M DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704261175
MI
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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