Individual
MISS ARTRICE G QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8039 CHALMERS AVE, WARREN, MI 48089-2305
(313) 483-2101
Mailing address
8039 CHALMERS AVE, WARREN, MI 48089-2305
(313) 483-2101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703127222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/14/2023
Last updated
03/14/2023
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