Individual
ERICA S ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23875 MICHIGAN AVE # 564, DEARBORN, MI 48124-1805
(313) 502-1626
Mailing address
23875 MICHIGAN AVE # 564, DEARBORN, MI 48124-1805
(313) 502-1626
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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