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Individual

LASHAY DONNETTA BYARS BILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
25639 FORD RD., DEARBORN HEIGHTS, MI 48127
(313) 277-3293
(313) 277-0917
Mailing address
25639 FORD RD., DEARBORN HEIGHTS, MI 48127
(313) 277-3293
(313) 277-0917

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104235
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4703104235
LICENSED PRACTICAL NURSE LICENSE NUMBER
MI
Enumeration date
11/04/2019
Last updated
11/04/2019
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