Individual
MISS VIVETTE PRETIEN BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13539 GRIGGS ST, DETROIT, MI 48238-2209
(313) 759-5501
Mailing address
13539 GRIGGS ST, DETROIT, MI 48238-2209
(313) 759-5501
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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