Individual
CHANEL DENISE SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN. BSN
Contact information
Practice address
8810 MARION, REDFORD, MI 48239-1734
(313) 699-0133
Mailing address
5459 GREENWAY DR, TRENTON, MI 48183-7207
(313) 699-0133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704328678
MI
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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