Individual
MYTIA RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6071 30TH ST, DETROIT, MI 48210-1409
(313) 693-3510
Mailing address
6071 30TH ST, DETROIT, MI 48210-1409
(313) 693-3510
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113783
MI
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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