Individual
KHOMARIA B MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 W OUTER DR, DETROIT, MI 48235
(248) 602-6557
Mailing address
PO BOX 48144, OAK PARK, MI 48237-5844
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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