Individual
IRATEENA LONGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17344 BRAILE ST, DETROIT, MI 48219-3947
(313) 768-7969
Mailing address
17344 BRAILE ST, DETROIT, MI 48219-3947
(313) 768-7969
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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