Individual
CAMILLE STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3766 HAZELWOOD ST, DETROIT, MI 48206-2158
(313) 912-0058
Mailing address
3766 HAZELWOOD ST, DETROIT, MI 48206-2158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704365412
MI
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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