Individual
ROMAN JEREMIAH ENCINIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 561-5100
Mailing address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 561-5100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
06/16/2023
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