| Stephonie Ridley, | |
|
13215 Woodward Ave, Highland Park, MI 48203-7072 | |
| (313) 330-2452 | |
| Not Available |
| Full Name | Stephonie Ridley |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 13215 Woodward Ave, Highland Park, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205385226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703116920 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephonie Ridley, 13215 Woodward Ave, Highland Park, MI 48203-7072 Ph: (313) 330-2452 | Stephonie Ridley, 13215 Woodward Ave, Highland Park, MI 48203-7072 Ph: (313) 330-2452 |
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