WILLIE DEANDREA BACKSTROM

BURTON, MI
NPI1194507780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-10-18
Last Update Date2023-10-18
Business Address
WILLIE DEANDREA BACKSTROM
1330 KENNETH ST
BURTON, MI 48529-2206
Phone number: 810-744-2506
Mailing Address
WILLIE DEANDREA BACKSTROM
1330 KENNETH ST
BURTON, MI 48529-2206
Phone number:
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