Individual
QUANTA LARKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17132 KINGSBROOKE CIR APT 101, CLINTON TOWNSHIP, MI 48038-3729
(313) 422-5679
(586) 203-8385
Mailing address
17132 KINGSBROOKE CIR APT 101, CLINTON TOWNSHIP, MI 48038-3729
(313) 422-5679
(586) 203-8385
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8507115
—
MI
Enumeration date
08/04/2018
Last updated
08/04/2018
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