Elijah Dooley, LPN | |
10 Peterboro St, Detroit, MI 48201-2722 | |
(313) 831-3160 | |
Not Available |
Full Name | Elijah Dooley |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 10 Peterboro St, Detroit, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316568884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703122340 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Elijah Dooley, LPN 16140 Tuller St, Detroit, MI 48221-2925 Ph: () - | Elijah Dooley, LPN 10 Peterboro St, Detroit, MI 48201-2722 Ph: (313) 831-3160 |
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