Individual
DIETRICH FRANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19638 RUNYON ST, DETROIT, MI 48234-3510
(313) 828-1957
Mailing address
19638 RUNYON ST, DETROIT, MI 48234-3510
(313) 828-1957
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0160865
MI
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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