Individual
SOPHAN BUFFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A, B.ED
Contact information
Practice address
929 BERKSHIRE RD, GROSSE POINTE PARK, MI 48230-1821
(586) 719-4051
Mailing address
15001 KERCHEVAL AVE # 322, GROSSE POINTE PARK, MI 48230-1361
(313) 444-5474
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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