Lakiesha Terrell
Chore Provider in Van Buren Twp, MI. Individual provider (NPI-1).
NPI number1093200313
StatusActive
Last updated in NPPESJun 28, 2018
Details
- NPI
- 1093200313
- Entity type
- Individual (NPI-1)
- Name
- Lakiesha Terrell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2018
- Last updated
- Jun 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
| 372500000X | Chore Provider | – | MI |
Practice location
10101 Rolan Meadows DrVan Buren Twp, MI 48111-8104
Phone 586-553-4550 · Fax 734-391-8272
Mailing address
Po Box 572Mount Clemens, MI 48046-0572
Phone 586-553-4550 · Fax 734-391-8272
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