Individual
CEJUANA ELVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30711 BEECHWOOD ST APT 46310, WIXOM, MI 48393-2801
(248) 979-4449
Mailing address
42756 WINDING POND TRL, VAN BUREN TWP, MI 48111-7203
(248) 979-4449
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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