Individual
TOMICHAEL LA'CHELLE PERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16485 EGO AVE, EASTPOINTE, MI 48021-3001
(313) 258-6346
Mailing address
16485 EGO AVE, EASTPOINTE, MI 48021-3001
(313) 258-6346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9424349
—
MI
Enumeration date
01/21/2021
Last updated
01/21/2021
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