LANISHA ANTOINETTE BLEVINS

INKSTER, MI
NPI1891399705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  1492119)
Enumeration Date2020-11-23
Last Update Date2020-12-16
Business Address
Miss LANISHA ANTOINETTE BLEVINS Nurse
1574 W RIVER PARK DR
INKSTER, MI 48141-1836
Phone number: 313-758-8362
Mailing Address
Miss LANISHA ANTOINETTE BLEVINS Nurse
1574 W RIVER PARK DR
INKSTER, MI 48141-1836
Phone number: 313-758-8362