Individual
ANDREA IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43993 BAYVIEW AVE APT 37105, CLINTON TOWNSHIP, MI 48038-7231
(313) 722-0025
Mailing address
43993 BAYVIEW AVE APT 37105, CLINTON TOWNSHIP, MI 48038-7231
(313) 722-0025
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
90083282
MI
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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