Individual
RADUAN SULTAN RAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29658 VAN LAAN DR, WARREN, MI 48092-4251
(586) 565-4766
Mailing address
29658 VAN LAAN DR, WARREN, MI 48092-4251
(586) 565-4766
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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