| Juanita Alston, | |
|
13037 Wilshire Dr, Detroit, MI 48213-1975 | |
| (313) 310-9487 | |
| Not Available |
| Full Name | Juanita Alston |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 13037 Wilshire Dr, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043683881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703110726 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Alston, 13037 Wilshire Dr, Detroit, MI 48213-1975 Ph: (313) 310-9487 | Juanita Alston, 13037 Wilshire Dr, Detroit, MI 48213-1975 Ph: (313) 310-9487 |
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