Porchea Rutherford
Licensed Practical Nurse in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1114487014
StatusActive
Last updated in NPPESMar 25, 2019
Details
- NPI
- 1114487014
- Entity type
- Individual (NPI-1)
- Name
- Porchea Rutherford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Last updated
- Mar 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703107265 | MI | Yes |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
Phone 248-299-0030
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
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