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Individual

DOMANIQWA DASHAY HATTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
959 W HURON ST # 37, WATERFORD, MI 48328-3727
(248) 935-2524
Mailing address
959 W HURON ST # 37, WATERFORD, MI 48328-3727
(248) 935-2524

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343800000X
Secured Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
03/24/2025
Last updated
06/13/2025
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