LASHARA VANDIVER

BELLEVILLE, MI
NPI1568916898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703079090)
Enumeration Date2016-08-03
Last Update Date2016-08-03
Business Address
-- LASHARA VANDIVER
3309 WESTLAKE CIR
BELLEVILLE, MI 48111-6108
Phone number: 313-424-8700
Mailing Address
-- LASHARA VANDIVER
3309 WESTLAKE CIR
BELLEVILLE, MI 48111-6108
Phone number: 313-424-8700
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