Individual
MR. JOSEPH DASHAWN CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PRACTICAL N
Contact information
Practice address
21040 GARDEN LN., FERNDALE, MI 48220
(313) 782-5003
Mailing address
21040 GARDEN LN., FERNDALE, MI 48220
(313) 782-5003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122482
MI
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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