NPI 1750787164

La'Shon Thedford, LPN

Practitioner Licensed Vocational Nurse Mount Clemens, MI

Practice location

Address: 62 Northbound Gratiot Ave, Mount Clemens, MI 48043-2310
Phone: (586) 468-8983

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 4703104399 (MI)

Other Licensed Vocational Nurse providers in Michigan →

Registry record

NPI: 1750787164
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2014
Record last updated: 13 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.