Individual
TYRONNE LEE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15907 MANSFIELD ST, DETROIT, MI 48227-1908
(313) 974-4293
Mailing address
15907 MANSFIELD ST, DETROIT, MI 48227-1908
(313) 974-4293
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
682
MI
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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