Individual
CHAVELLA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35601 STEPHANIE ST, ROMULUS, MI 48174-4529
(586) 457-6754
Mailing address
35601 STEPHANIE ST, #107, ROMULUS, MI 48174-4529
(586) 457-6754
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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