Individual
VENICE MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 266-1475
Mailing address
17330 BENTLER ST APT 204, DETROIT, MI 48219-3990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125961
MI
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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