Individual
MR. KEITH BURELL HUDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23344 PLUMBROOKE DR, SOUTHFIELD, MI 48075-7811
(313) 675-2052
Mailing address
23344 PLUMBROOKE DR, SOUTHFIELD, MI 48075-7811
(313) 675-2052
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
H325-465-101-313
MI
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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