Individual
DEYONTA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 E 7 MILE RD, DETROIT, MI 48234-2358
(313) 717-8952
Mailing address
5220 E 7 MILE RD, DETROIT, MI 48234-2358
(313) 475-8380
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
MI
224P00000X
Prosthetist
—
MI
Other
Enumeration date
05/03/2021
Last updated
10/06/2021
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