Chantille Luckett

NPI # 

Practice Address:

27817 Yvette Dr

Warren, MI, 48088-6647

Practice Phone:

313-544-8101

License Number:

230014969350410

License State:

MI

Taxonomy Grouping:

Nursing Service Related Providers

Taxonomy Classification:

Nurse's Aide

Taxonomy Code:

376K00000X