Individual
MICHON SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 E JAMES ST, RIVER ROUGE, MI 48218-1693
(313) 471-9705
Mailing address
88 E JAMES ST, RIVER ROUGE, MI 48218-1693
(313) 471-9705
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74715865
—
MI
Enumeration date
08/04/2016
Last updated
08/04/2016
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