Individual
CANCION DERUT DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3138 HILTON RD, FERNDALE, MI 48220-1039
(248) 232-2555
Mailing address
3138 HILTON RD, FERNDALE, MI 48220-1039
(248) 232-2555
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4204281917
MI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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