Individual
MRS. DIESIREH GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9271 CHEYENNE ST, DETROIT, MI 48228-2606
(517) 960-6988
Mailing address
9271 CHEYENNE ST, DETROIT, MI 48228-2606
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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