Individual
LONNAI D BILLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
19952 VAUGHAN ST, DETROIT, MI 48219-2062
(313) 768-6910
Mailing address
19952 VAUGHAN ST, DETROIT, MI 48219-2062
(313) 768-6910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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