Individual
MRS. DAWN MICHELLE WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17173 PINEHURST ST, DETROIT, MI 48221-2310
(313) 550-4424
Mailing address
17173 PINEHURST ST, DETROIT, MI 48221-2310
(313) 550-4424
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703093604
MI
Other
Enumeration date
03/09/2008
Last updated
03/09/2008
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