Individual
ADRIENNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38073 ORLEANS ST, CLINTON TOWNSHIP, MI 48038-3349
(586) 530-9712
Mailing address
38073 ORLEANS ST, CLINTON TOWNSHIP, MI 48038-3349
(586) 530-9712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703078313
MI
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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