Executive Care
NPI #1770145872 in Detroit, Michigan
Provider Information
- NPI Number
- 1770145872
- Entity Type
- Organization
- Organization Name
- Executive Care
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jun 28, 2019
- Last Updated
- Jun 28, 2019
Practice Location
Authorized Official
- Name
- TISCUR GWENDOLYN TAYLOR, LPN
- Title
- NURSE
- Phone
- (800) 575-5270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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