MIA LOVE

DETROIT, MI
NPI1295079895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: MI  4704264783)
Enumeration Date2012-11-20
Last Update Date2019-01-18
Business Address
MIA LOVE CPNP
2959 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Phone number: 313-463-2037
Mailing Address
MIA LOVE CPNP
2959 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2475
Phone number: 313-463-2037