Individual
REGINA RENA HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13560 E MCNICHOLS STE 142D, DETROIT, MI 48205
(313) 729-4547
(313) 668-6148
Mailing address
46504 VILLAGGIO CT, UTICA, MI 48315-4165
(586) 243-5776
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
10/03/2023
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