Individual
VERONIQUE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16197 LAWTON ST APT 102, DETROIT, MI 48221-3176
(313) 221-3675
Mailing address
16197 LAWTON ST APT 102, DETROIT, MI 48221-3176
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112633
MI
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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