STACEY NELSON

DETROIT, MI
NPI1740546050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703086453)
Enumeration Date2012-04-11
Last Update Date2012-04-11
Business Address
-- STACEY NELSON LICENSED NURSE
2634 PEARL ST
DETROIT, MI 48209-3700
Phone number: 313-300-4691
Mailing Address
-- STACEY NELSON LICENSED NURSE
PO BOX 118
S ROCKWOOD, MI 48179-0118
Phone number: 248-747-3100
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