Individual
CHANTIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 E NEVADA ST, DETROIT, MI 48234-1700
(313) 419-7940
Mailing address
3643 E NEVADA ST, DETROIT, MI 48234-1722
(313) 419-7940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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