Individual
DENISE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 839-1000
Mailing address
22240 WYMAN ST, DETROIT, MI 48219-3869
(313) 739-9517
(313) 537-0557
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
190326120033
MI
3747P1801X
Personal Care Attendant
Primary
190326120033
MI
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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