Individual
MS. RITA LOUISE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8210 COYLE ST, DETROIT, MI 48228-2451
(313) 605-0555
(313) 846-6889
Mailing address
PO BOX 4128, DETROIT, MI 48204-0128
(313) 605-0555
(313) 846-6889
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
P456738549356
MI
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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