La'shon Thedford LPN

NPI 1750787164 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1750787164
Gender Female
Enumeration Date 11/12/2014
Last Updated 11/13/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
62 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS MI, 48043-2310, US
Phone (586) 468-8983
Fax
Business Location
62 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS MI, 48043-2310, US
Phone
Fax
Toxanomy
Taxonomy Code 164X00000X
License State Michigan
License Number 4703104399
Remove 1750787164 NPI Number
 

According to our database, La'shon Thedford LPN NPI is 1750787164, taxonomy code is 164X00000X and license number is 4703104399, license state is located at Michigan. La'shon Thedford LPN physically located at 62 Northbound Gratiot Ave, Mount Clemens MI, 48043-2310. NPI Number La'shon Thedford LPN has the Individual type.

Sponsored links

1750787164 NPI number is provided on an as is basis without warranty of any kind. 1750787164 is maintained by the National Plan & Provider Enumeration System. The contents of La'shon Thedford LPN are for informational purposes only.