Jacqueline Marie Edwards LPN

NPI 1336306760 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1336306760
Gender Female
Enumeration Date 05/22/2008
Last Updated 05/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
300 W MCNICHOLS RD
DETROIT MI, 48203-2703, US
Phone (313) 867-8015
Fax
Business Location
4372 HARVARD RD
DETROIT MI, 48224-2346, US
Phone (313) 885-0223
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703078787
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According to our database, Mrs. Jacqueline Marie Edwards LPN NPI is 1336306760, taxonomy code is 164W00000X and license number is 4703078787, license state is located at Michigan. Jacqueline Marie Edwards LPN physically located at 300 W Mcnichols Rd, Detroit MI, 48203-2703. NPI Number Jacqueline Marie Edwards LPN has the Individual type.

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1336306760 NPI number is provided on an as is basis without warranty of any kind. 1336306760 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Marie Edwards LPN are for informational purposes only.