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Individual

MR. RICHARD LOUIS HORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
INDIVIDUAL

Contact information

Practice address
1331 E CANFIELD ST APT 207, DETROIT, MI 48207-4602
(313) 656-4648
Mailing address
1331 E CANFIELD ST APT 207, DETROIT, MI 48207-4602
(313) 656-4648

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
635738549334
SON
MI
01
H635738549334
SON
MI
Enumeration date
04/16/2019
Last updated
04/16/2019
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