Individual
WANDA ROCHELLE HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6609 YALE ST APT 327, WESTLAND, MI 48185-2138
(734) 516-0502
Mailing address
6609 YALE ST APT 327, WESTLAND, MI 48185-2138
(313) 439-2245
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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