Individual
TRISHA WONSOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 MCINTOSH LN, CARLETON, MI 48117-9455
(734) 353-2047
Mailing address
3722 MCINTOSH LN, CARLETON, MI 48117-9455
(734) 353-2047
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7945811
—
MI
Enumeration date
05/13/2016
Last updated
05/13/2016
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