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Cecelia Manquera

Licensed Practical Nurse in Detroit, MI. Individual provider (NPI-1).

NPI number1861908477
StatusActive
Last updated in NPPESDec 19, 2017

Details

NPI
1861908477
Entity type
Individual (NPI-1)
Name
Cecelia Manquera
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2017
Last updated
Dec 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse4703119093MIYes

Practice location

5274 Homedale St
Detroit, MI 48210-2022

Phone 313-433-2501

Mailing address

5274 Homedale St
Detroit, MI 48210-2022

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