RENAE FULKS

SOUTHGATE, MI
NPI1023496288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703111417)
Enumeration Date2015-05-08
Last Update Date2015-05-08
Business Address
-- RENAE FULKS
13460 CAMBRIDGE ST APT 203
SOUTHGATE, MI 48195-1540
Phone number: 734-444-6831
Mailing Address
-- RENAE FULKS
13460 CAMBRIDGE ST APT 203
SOUTHGATE, MI 48195-1540
Phone number: 734-444-6831