Individual
DERSELL LYNN SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20415 SORRENTO ST, DETROIT, MI 48235-1132
(313) 926-7931
Mailing address
20415 SORRENTO ST, DETROIT, MI 48235-1132
(313) 926-7931
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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