Tenecia Machupa
Licensed Practical Nurse in Detroit, MI. Individual provider (NPI-1).
NPI number1144517954
StatusActive
Last updated in NPPESJun 30, 2011
Details
- NPI
- 1144517954
- Entity type
- Individual (NPI-1)
- Name
- Tenecia Machupa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2011
- Last updated
- Jun 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703103051 | MI | Yes |
Practice location
15828 Mansfield StDetroit, MI 48227-1959
Phone 313-729-4730
Mailing address
15828 Mansfield StDetroit, MI 48227-1959
Phone 313-729-4730
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