Individual
DERRICK F HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Mailing address
16146 PETOSKEY AVE, DETROIT, MI 48221-3045
(313) 570-4437
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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