Organization
HEALTH STREET PLLC
Active
Parent organization
HEALTH STREET PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH STREET PLLC
Authorized official
VINCENT RAMPERSAUD M.D. (OWNER)
(734) 483-9474
Entity
Organization
Contact information
Practice address
7321 N LILLEY RD, CANTON, MI 48187-2457
(734) 354-4210
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/25/2010
Last updated
03/01/2011
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