Individual
PATRICIA DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 CASS AVE, DETROIT, MI 48201-1719
(313) 833-1168
Mailing address
3745 CASS AVE, DETROIT, MI 48201-1719
(313) 833-1168
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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