Katrena Edmondson, | |
26663 W. Carriage Park Dr, Southfield, MI 48034 | |
(248) 730-3427 | |
Not Available |
Full Name | Katrena Edmondson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 26663 W. Carriage Park Dr, Southfield, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265988083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703111918 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Katrena Edmondson, 26663 W. Carriage Park Dr, Southfield, MI 48034 Ph: (248) 730-3427 | Katrena Edmondson, 26663 W. Carriage Park Dr, Southfield, MI 48034 Ph: (248) 730-3427 |
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› Verified 4 days ago
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