Individual
JENNELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19327 RYAN RD, DETROIT, MI 48234-1921
(313) 354-3655
Mailing address
5680 MONTCLAIR ST, DETROIT, MI 48213-3434
(313) 354-3655
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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