Individual
MICHELLE LYNN WARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1421 E GOULSON AVE, HAZEL PARK, MI 48030-1912
(248) 229-4318
Mailing address
1421 E GOULSON AVE, HAZEL PARK, MI 48030-1912
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703095763
MI
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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