Individual
WANDA R HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MERTON RD APT 308, DETROIT, MI 48203-2292
(313) 896-8514
Mailing address
275 MERTON RD APT 308, DETROIT, MI 48203-2292
(313) 896-8514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
MI
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
83-2648701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-2648701
—
MI
Enumeration date
02/07/2020
Last updated
02/12/2024
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