Individual
MONDREEK WHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4125 DOVE RD LOT 49, PORT HURON, MI 48060-7458
(248) 658-8665
Mailing address
4125 DOVE RD, PORT HURON, MI 48060-7454
(248) 658-8665
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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