Individual
MS. SUSAN C PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
18249 MATTHEWS ST, RIVERVIEW, MI 48193-7481
(734) 284-6688
(734) 284-6688
Mailing address
18249 MATTHEWS ST, RIVERVIEW, MI 48193-7481
(734) 284-6688
(734) 284-6688
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703056697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4701443
—
MI
Enumeration date
09/21/2006
Last updated
07/09/2007
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