Individual
CAROLYN LAKEISHA LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 W BUENA VISTA ST, DETROIT, MI 48238-3204
(313) 971-7617
Mailing address
4020 W BUENA VISTA ST, DETROIT, MI 48238-3204
(313) 971-7617
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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