Individual
THERESA SOMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5716 MICHIGAN AVE STE 3100, DETROIT, MI 48210-3039
(313) 963-2266
Mailing address
5716 MICHIGAN AVE STE 3100, DETROIT, MI 48210-3039
(313) 963-2266
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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