Individual
JOANNE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34106 BLACKFOOT ST, WESTLAND, MI 48185-7015
(313) 598-3451
Mailing address
34106 BLACKFOOT ST, WESTLAND, MI 48185-7015
(313) 598-3451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111318
MI
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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