Individual
DORTHIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11512 CHRISTY ST, DETROIT, MI 48205-4710
(313) 573-1408
Mailing address
30487 CONCORD CT APT A, ROSEVILLE, MI 48066-7324
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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