Individual
SHANITA BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19962 FERGUSON ST, DETROIT, MI 48235-2431
(313) 352-2774
Mailing address
19962 FERGUSON ST, DETROIT, MI 48235-2431
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704343996
MI
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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