Individual
MRS. ELAINE MARZETTE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
27150 W 8 MILE RD, SOUTHFIELD, MI 48034-3590
(248) 249-3475
Mailing address
15500 ASHTON RD, DETROIT, MI 48223-1376
(313) 493-0979
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
4401003230
MI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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