Individual
MR. DEWAND LESHAWN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12103 ROSEMARY ST, DETROIT, MI 48213-1366
(313) 614-7567
Mailing address
26100 HOFFMEYER ST, ROSEVILLE, MI 48066-4915
(313) 926-9442
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
G450139511724
MI
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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