Individual
CARLETTA EEDSEL HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3079 S BALDWIN RD STE 1050, LAKE ORION, MI 48359-1028
(248) 636-2192
Mailing address
3079 S BALDWIN RD STE 1050, LAKE ORION, MI 48359-1028
(248) 636-2192
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230015223331110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230015223331110
CNA LICENSE NUMBER
MI
Enumeration date
03/29/2019
Last updated
03/29/2019
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