Individual
MRS. GINA CLARK-ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA
Contact information
Practice address
14271 COYLE ST, DETROIT, MI 48227
(313) 743-2804
Mailing address
14271 COYLE ST, DETROIT, MI 48227-2537
(313) 743-2804
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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