Patrice Lavon Wilson, LPN | |
30534 Hennigan St, Roseville, MI 48066-1450 | |
(313) 324-2300 | |
Not Available |
Full Name | Patrice Lavon Wilson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 30534 Hennigan St, Roseville, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154091692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703113331 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Patrice Lavon Wilson, LPN 30534 Hennigan St, Roseville, MI 48066-1450 Ph: (313) 324-2300 | Patrice Lavon Wilson, LPN 30534 Hennigan St, Roseville, MI 48066-1450 Ph: (313) 324-2300 |
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Brenda Peck, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 18621 Blue Island Ct, Roseville, MI 48066 Phone: 313-243-6891 | |
Siobhan Spencer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 31581 Gratiot Ave, Roseville, MI 48066 Phone: 586-783-4802 Fax: 586-783-4805 | |
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