Individual
LAMONT SCOTT LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14853 COLLEGE AVE, ALLEN PARK, MI 48101-3040
(313) 318-4055
Mailing address
14853 COLLEGE AVE, ALLEN PARK, MI 48101-3040
(313) 318-4055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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