Individual
CARLA TOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8623 QUINCY ST, DETROIT, MI 48204-2338
(313) 671-0561
Mailing address
8623 QUINCY ST, DETROIT, MI 48204-2338
(313) 671-0561
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
163WH0200X
MI
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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