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Individual

MS. TONYA CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16589 CHATHAM ST, DETROIT, MI 48219-3707
(313) 427-8668
Mailing address
1982 GROVE ST, DETROIT, MI 48203-2519
(313) 208-1791

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7338018
PROVIDER IDENTIFICATION
MI
Enumeration date
10/16/2015
Last updated
10/16/2015
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