Individual
JAMES WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 TALISKER DR, CORDOVA, TN 38016-0155
(313) 742-4922
Mailing address
535 GRISWOLD ST # 111-243, DETROIT, MI 48226-3604
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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