Individual
AYANA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7419 GRANDMONT AVE, DETROIT, MI 48228-3624
(313) 974-4007
Mailing address
7419 GRANDMONT AVE, DETROIT, MI 48228-3624
(313) 974-4007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465542726
—
MI
05
—
9353471
—
MI
Enumeration date
02/25/2021
Last updated
02/25/2021
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