Individual
ANTOINETTE MARIE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 324-8701
Mailing address
24591 ONEIDA BLVD, OAK PARK, MI 48237-1715
(517) 402-4686
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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