Individual
RAQUEL NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 W 9 MILE RD, OAK PARK, MI 48237-3947
(313) 685-7363
Mailing address
12800 W 9 MILE RD, OAK PARK, MI 48237-3947
(313) 685-7363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117797
MI
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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