Individual
LYZALLE R DARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(248) 210-1793
Mailing address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(248) 210-1793
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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