Individual
ALTORA EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20189 SHEFFIELD RD, DETROIT, MI 48221-1313
(313) 742-8643
Mailing address
20189 SHEFFIELD RD, DETROIT, MI 48221-1313
(313) 742-8643
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E120059085437
—
MI
Enumeration date
08/05/2015
Last updated
08/05/2015
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