Individual
BRENEA L WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3566 CASS AVE APT 301, DETROIT, MI 48201-2394
(248) 873-5825
Mailing address
3566 CASS AVE APT 301, DETROIT, MI 48201-2394
(248) 873-5825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
MI
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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