Individual
AALIYAH DESTINY WILCOXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20800 WYOMING ST, FERNDALE, MI 48220-2163
(404) 863-3921
Mailing address
18660 FITZPATRICK CT, DETROIT, MI 48228-1430
(404) 863-3921
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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