Individual
JOYLISIA RENEE GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16298 EASTBURN ST, DETROIT, MI 48205-1427
(313) 600-4730
Mailing address
16298 EASTBURN ST, DETROIT, MI 48205-1427
(313) 600-4730
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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