Individual
DENITIA LYNNICE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21537 KELLY RD, EASTPOINTE, MI 48021-3213
(313) 646-0438
Mailing address
24824 RAVEN AVE, EASTPOINTE, MI 48021-1453
(313) 646-0438
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
2701188264
MI
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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