Individual
MRS. PAMELA RUTH FOXHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
19940 CONANT ST. STE. A, B, & C, DETROIT, MI 48234-1494
(313) 305-4180
(313) 733-8190
Mailing address
19940 CONANT ST. STE. A, B, & C, DETROIT, MI 48234-1494
(313) 305-4180
(313) 733-8190
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703065540
MI
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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