Individual
JOHNNNY M GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13283 SYRACUSE ST, DETROIT, MI 48212
(313) 330-2988
Mailing address
13283 SYRACUSE ST, DETROIT, MI 48212-2419
(313) 330-2988
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/28/2024
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