Individual
APRIL MCCULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16642 MONTE VISTA ST, DETROIT, MI 48221-2862
(810) 937-6001
Mailing address
16642 MONTE VISTA ST, DETROIT, MI 48221-2862
(810) 937-6001
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
163WH0200X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9126740
—
MI
Enumeration date
10/26/2019
Last updated
10/26/2019
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