Individual
BEVERLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26408 OAKLAND ST, INKSTER, MI 48141-1985
(313) 551-3770
Mailing address
15055 ASHTON RD, DETROIT, MI 48223-2348
(313) 516-0146
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
AS820080324
MI
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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