Individual
MARK PAUL AZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27605 WALKER AVE, WARREN, MI 48092
(586) 899-8550
Mailing address
27605 WALKER AVE, WARREN, MI 48092-5149
(586) 899-8550
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861980302
NPI
MI
Enumeration date
04/30/2018
Last updated
02/05/2024
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