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Organization

MEDICALMOBILEUNLIMITEDLLC

Active
Other names
Medicalmobileunlimitedllc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALTONIO COLEMAN (CEO)
(313) 899-8102
Entity
Organization

Contact information

Practice address
400 RENAISSANCE CTR, DETROIT, MI 48243-1502
(567) 277-6942
Mailing address
4216 SLOANE ST APT 417, CARROLLTON, TX 75007-2369
(567) 277-6942

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111111122
MI
Enumeration date
01/10/2022
Last updated
01/10/2022
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