Individual
ANNETTE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23011 KENOSHA ST, OAK PARK, MI 48237-2431
(313) 961-4890
Mailing address
23011 KENOSHA ST, OAK PARK, MI 48237-2431
(248) 336-9076
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704166701
MI
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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