Individual
DEJA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 VARNER DR, ROCHESTER, MI 48309-4485
(313) 457-9197
Mailing address
371 VARNER DR, ROCHESTER, MI 48309-4485
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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