Individual
CARRIE DEBLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 UNION ST, ECORSE, MI 48229-1727
(313) 772-0187
Mailing address
54 UNION ST, ECORSE, MI 48229-1727
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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