Individual
MRS. BEVERLY JEAN MUCENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
882 OAKMAN BLVD STE C, DETROIT, MI 48238-4019
(313) 961-4890
Mailing address
15772 KENTFIELD, DETROIT, MI 48223
(313) 459-1174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704221955
MI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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