Individual
MARCELINA REYES SOCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
2050 N HAGGERTY RD STE 100, CANTON, MI 48187-3796
(734) 981-1086
Mailing address
1765 STONEBRIDGE WAY CT, CANTON, MI 48188-6228
(734) 306-1319
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704152589
MI
Other
Enumeration date
06/28/2017
Last updated
03/17/2018
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