Individual
LAMONICA SHARDAI FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
8023 SAINT PAUL ST, DETROIT, MI 48214-2607
(248) 469-5967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106267
MI
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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