Individual
YUSEF QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15825 CRUSE ST, DETROIT, MI 48227-3309
(313) 419-7267
Mailing address
15825 CRUSE ST, DETROIT, MI 48227-3309
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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