SCHAWANA THAXTON

DETROIT, MI
NPI1306928395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MI  4704221417)
Enumeration Date2006-10-19
Last Update Date2021-06-21
Business Address
Mrs. SCHAWANA THAXTON NP
11260 E JEFFERSON AVE
DETROIT, MI 48214-3320
Phone number: 313-749-0148
Mailing Address
Mrs. SCHAWANA THAXTON NP
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730
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