Individual
DETRESE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20325 LENNON ST, HARPER WOODS, MI 48225-1603
(586) 335-3332
Mailing address
20325 LENNON ST, HARPER WOODS, MI 48225-1603
(586) 335-3332
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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