Individual
MISS MARCY LEE SOUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1449 S WASHINGTON AVE, ROYAL OAK, MI 48067-3225
(248) 635-7309
Mailing address
1449 S WASHINGTON AVE, ROYAL OAK, MI 48067-3225
(248) 635-7309
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704249796
MI
163WM0705X
Medical-Surgical Registered Nurse
TL6068871012
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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