Stephonie Ridley, | |
13215 Woodward Ave, Highland Park, MI 48203-7072 | |
(313) 330-2452 | |
Not Available |
Full Name | Stephonie Ridley |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 13215 Woodward Ave, Highland Park, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205385226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703116920 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stephonie Ridley, 13215 Woodward Ave, Highland Park, MI 48203-7072 Ph: (313) 330-2452 | Stephonie Ridley, 13215 Woodward Ave, Highland Park, MI 48203-7072 Ph: (313) 330-2452 |
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› Verified 8 days ago
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