Individual
JAMIE LAPORTE-DEWAELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S MAIN ST, ROYAL OAK, MI 48067-2676
(313) 466-4271
Mailing address
1420 WASHINGTON BLVD STE 301, DETROIT, MI 48226-1750
(313) 466-4271
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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