Individual
BETTY JEAN FAIRCHILD-EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
20018 NORHTROP, DETROIT, MI 48219
(313) 454-7891
(313) 537-2418
Mailing address
20018 NORTHROP ST, DETROIT, MI 48219-1256
(313) 454-7891
(313) 537-2418
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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