Individual
REGINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(248) 860-3726
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(248) 860-3726
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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