Individual
MARY ANN WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9850
Mailing address
8102 E LANTZ ST, DETROIT, MI 48234-3303
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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