Individual
DEANDRE LAVELLE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
706 PATTERSON AVE, BAY CITY, MI 48706-4194
(989) 400-2583
(989) 956-5914
Mailing address
706 PATTERSON AVE, BAY CITY, MI 48706-4194
(989) 400-2583
(989) 956-5914
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H220139488070
MI
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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