Individual
DELISHA MELVINIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 CONNER ST, DETROIT, MI 48215-2201
(313) 273-4111
Mailing address
4401 CONNER ST, DETROIT, MI 48215-2201
(313) 273-4111
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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