ATHENA T LAVENDER

HARPER WOODS, MI
NPI1740787621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703098328)
Enumeration Date2018-04-09
Last Update Date2018-04-09
Business Address
ATHENA T LAVENDER
19905 WASHTENAW ST
HARPER WOODS, MI 48225-2225
Phone number: 313-778-4290
Mailing Address
ATHENA T LAVENDER
44450 PINETREE DR STE 203
PLYMOUTH, MI 48170-3869
Phone number: 734-207-8316
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