Individual
TRESA LYNN LITTLE-LOECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1066 16TH ST, WYANDOTTE, MI 48192-3117
(734) 775-1592
Mailing address
1066 16TH ST, WYANDOTTE, MI 48192-3117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703034796
MI
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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