DIANE BRATHWAITE

DETROIT, MI
NPI1790235430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703114334)
Enumeration Date2016-10-06
Last Update Date2016-10-06
Business Address
-- DIANE BRATHWAITE
15901 FERGUSON ST
DETROIT, MI 48227-1570
Phone number: 313-682-7622
Mailing Address
-- DIANE BRATHWAITE
15901 FERGUSON ST
DETROIT, MI 48227-1570
Phone number: 313-682-7622