Individual
MS. JUANNA CHERISE HARDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 PASADENA, DETROIT, MI 48238
(313) 456-5513
Mailing address
1935 PASADENA ST, DETROIT, MI 48238-2922
(313) 456-5513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803085951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7166210
—
MI
Enumeration date
07/29/2016
Last updated
07/29/2016
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