Queen of Hearts

NPI #1174094627 in Detroit, Michigan

Provider Information

NPI Number
1174094627
Entity Type
Organization
Organization Name
Queen of Hearts
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 10, 2018
Last Updated
Jun 11, 2019

Practice Location

Address
1431 WASHINGTON BLVD APT 2306
ZIP Code
48226-1728
Phone
(414) 630-0379

Authorized Official

Name
MISS NICHOLE DEGREE, LPN
Title
LPN/OWNER
Phone
(414) 630-0379

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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