Individual
CRYSTAL NUNNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14241 FAUST AVE, DETROIT, MI 48223-3574
(313) 736-3471
(313) 736-3471
Mailing address
14241 FAUST AVE, DETROIT, MI 48223-3574
(313) 736-3471
(313) 736-3471
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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