Organization
RESTORATION HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEQUINDRA QUINN RN NP-C (OWNER)
(313) 744-2164
Entity
Organization
Contact information
Practice address
17751 E WARREN AVE, DETROIT, MI 48224-1329
(313) 744-2164
Mailing address
17751 E WARREN AVE, DETROIT, MI 48224-1329
(313) 744-2164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704205118
MI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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