Individual
MS. SALLY HEARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1353
Mailing address
PO BOX 2054, FARMINGTON HILLS, MI 48333-2054
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704146735
MI
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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