Individual
TERRANCE LAMARQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20046 WASHBURN ST, DETROIT, MI 48221-1020
(313) 258-6847
Mailing address
20046 WASHBURN ST, DETROIT, MI 48221-1020
(313) 258-6847
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000007629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824066361
HOME CARE
—
Enumeration date
01/31/2018
Last updated
01/31/2018
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