Individual
PAULA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-4580
Mailing address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-4580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114372
MI
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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