Individual
SELENA J HUDGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17905 MAINE ST, DETROIT, MI 48212-1019
(313) 733-4428
Mailing address
17905 MAINE ST, DETROIT, MI 48212-1019
(313) 600-8432
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
04/19/2023
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