Individual
MRS. SHARDAYA FUQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10231 PURITAN ST, DETROIT, MI 48238-1059
(313) 731-2871
Mailing address
66 COLORADO ST, HIGHLAND PARK, MI 48203-3302
(313) 731-2871
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
05/22/2024
Last updated
11/21/2025
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