Individual
RUTH UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 595-8393
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 595-8393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704180991
MI
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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