Individual
ERIKA GUADALUPE TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14603 HARRISON AVE, ALLEN PARK, MI 48101-1802
(313) 454-9080
Mailing address
1482 16TH ST, WYANDOTTE, MI 48192-3344
(313) 454-9080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704327073
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2021
Last updated
08/05/2025
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