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1992531479
ROSHELLE DESHAWN PETTIFORD
DETROIT, MI
NPI
1992531479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Additional Taxonomies
253Z00000X In Home Supportive Care
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
ROSHELLE DESHAWN PETTIFORD
19101 EVERGREEN RD APT 506
DETROIT, MI 48219-2682
Phone number: 313-918-6623
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Mailing Address
ROSHELLE DESHAWN PETTIFORD
19101 EVERGREEN RD APT 506
DETROIT, MI 48219-2682
Phone number: 313-918-6623
Copy
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