Individual
MARIE SUEZZETTE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
13906 BERWICK ST, LIVONIA, MI 48154-4213
(313) 646-0662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704315789
MI
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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