Individual
GENELL FA'TEMA-ROCHEA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3799 HENRY RUFF RD, INKSTER, MI 48141-2071
(313) 675-7484
Mailing address
26271 W HILLS DR, INKSTER, MI 48141-1906
(313) 675-7484
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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