NPI 1871368001

Leslie Rutland-Tipton, MDIVBCC

Practitioner Religious Nonmedical Practitioner Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (313) 576-1776

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X Licence NA (MI)

Other Religious Nonmedical Practitioner providers in Michigan →

Registry record

NPI: 1871368001
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2023
Record last updated: 17 Nov 2023

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.