Alecia Walls LPN

NPI 1417352113 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1417352113
Gender Female
Enumeration Date 10/24/2014
Last Updated 10/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
41521 W 11 MILE RD
NOVI MI, 48375-1803, US
Phone (248) 299-0030
Fax
Business Location
41521 W 11 MILE RD
NOVI MI, 48375-1803, US
Phone (248) 299-0030
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703107274
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According to our database, Ms. Alecia Walls LPN NPI is 1417352113, taxonomy code is 164W00000X and license number is 4703107274, license state is located at Michigan. Alecia Walls LPN physically located at 41521 W 11 Mile Rd, Novi MI, 48375-1803. NPI Number Alecia Walls LPN has the Individual type.

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1417352113 NPI number is provided on an as is basis without warranty of any kind. 1417352113 is maintained by the National Plan & Provider Enumeration System. The contents of Alecia Walls LPN are for informational purposes only.