Individual
RENE GOUPAYOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12921 OAK PARK BLVD, OAK PARK, MI 48237-2126
(734) 444-6192
Mailing address
12921 OAK PARK BLVD, OAK PARK, MI 48237-2126
(734) 444-6192
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AS630399856
MI
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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