Individual
MR. EARNEST LEE HUMPHREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16534 FERGUSON ST, DETROIT, MI 48235-3441
(313) 598-5721
Mailing address
16534 FERGUSON ST, DETROIT, MI 48235-3441
(313) 598-5721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NA
MI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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