Individual
MAJEANA LASHAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 WALNUT ST, RIVER ROUGE, MI 48218-1541
(313) 576-7125
Mailing address
74 WALNUT ST, RIVER ROUGE, MI 48218-1541
(313) 576-7125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8964722
MI
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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