Individual
LAQWANA M DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 S WINTER ST, CHILDREN'S DEPARTMENT, ADRIAN, MI 49221-3876
(517) 264-0194
Mailing address
1040 S WINTER ST, CHILDREN'S DEPARTMENT, ADRIAN, MI 49221-3876
(517) 263-8905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
10/01/2013
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