Individual
MRS. LEAH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19320 DRESDEN, DETROIT, MI 48205-2132
(278) 866-7192
Mailing address
19320 DRESDEN, DETROIT, MI 48205-2132
(248) 866-7192
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-1796060
—
MI
Enumeration date
03/31/2022
Last updated
10/05/2023
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