Individual
MS. EASTER M DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18817 DEAN ST, DETROIT, MI 48234-2025
(313) 463-9739
Mailing address
18817 DEAN ST, DETROIT, MI 48234-2025
(313) 463-9739
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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