Individual
MS. VICTORIA LOREEN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23132 WELLINGTON CRES APT 104, CLINTON TOWNSHIP, MI 48036-3568
(313) 459-1894
Mailing address
19966 PELKEY ST, DETROIT, MI 48205-1710
(313) 459-1894
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A352847546594
MI
Other
Enumeration date
03/25/2015
Last updated
04/06/2015
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