Individual
MR. JAMAL DEREK RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8872 PREVOST ST, DETROIT, MI 48228-2177
(248) 633-5284
(313) 740-7790
Mailing address
8872 PREVOST ST, DETROIT, MI 48228-2177
(248) 633-5284
(313) 740-7790
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
MI
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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