Individual
INDIGO T ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29221 BARRINGTON ST, INKSTER, MI 48141-1619
(313) 542-3107
Mailing address
1678 WOODBOURNE ST, WESTLAND, MI 48186-5327
(313) 542-3107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703127712
MI
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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