Individual
ILONA PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25603 BRIAR DR, OAK PARK, MI 48237-1336
(313) 854-9424
Mailing address
25603 BRIAR DR, OAK PARK, MI 48237-1336
(313) 854-9424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704351875
MI
Other
Enumeration date
06/24/2021
Last updated
06/29/2021
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