Individual
RAE ANDERSON-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
16871 SORRENTO ST, DETROIT, MI 48235-4211
(313) 675-7088
Mailing address
16871 SORRENTO ST, DETROIT, MI 48235-4211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129546
MI
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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