MISS Lanisha Antoinette Blevins, NURSE

NPI #1891399705 in Inkster, Michigan

Provider Information

NPI Number
1891399705
Entity Type
Individual
Name
MISS Lanisha Antoinette Blevins, NURSE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
NURSE
Enumeration Date
Nov 23, 2020
Last Updated
Dec 16, 2020

Practice Location

Address
1574 W RIVER PARK DR
ZIP Code
48141-1836
Phone
(313) 758-8362

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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