Individual
MS. EARNESTINE GRETCHEN FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
4703112436
Contact information
Practice address
18071 SHIELDS ST, DETROIT, MI 48234-2027
(313) 759-4321
Mailing address
18071 SHIELDS ST, DETROIT, MI 48234-2027
(313) 759-4321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112436
MI
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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