Individual
CHARNELLE IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21300 CLARITA STREET, DETROIT, MI 48219
(313) 870-8095
Mailing address
21300 CLARITA ST, DETROIT, MI 48219-2466
(313) 870-8095
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
I615115546417
MI
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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