Individual
DIARRA M WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9875 YORKSHIRE RD, DETROIT, MI 48224-1930
(586) 981-4781
Mailing address
9875 YORKSHIRE RD, DETROIT, MI 48224-1930
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000055196
MI
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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