Individual
CHRISTENA R MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21172 VERMANDER AVE, CLINTON TWP, MI 48035-3576
(586) 224-2550
Mailing address
19724 MOROSS RD, DETROIT, MI 48224-1170
(586) 676-8337
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
374U00000X
Home Health Aide
—
MI
Other
Enumeration date
07/07/2023
Last updated
08/23/2023
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