DETRA DAVIE

OAK PARK, MI
NPI1811340896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: MI  AS630283826)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
-- DETRA DAVIE
23161 SUSSEX ST
OAK PARK, MI 48237-2495
Phone number: 313-658-7300
Mailing Address
-- DETRA DAVIE
23161 SUSSEX ST
OAK PARK, MI 48237-2495
Phone number: 313-658-7300
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