Individual
SHAFONTA HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19959 RIOPELLE ST, DETROIT, MI 48203-1249
(586) 980-0090
(586) 980-0090
Mailing address
19959 RIOPELLE ST, DETROIT, MI 48203-1249
(586) 980-0090
(586) 980-0090
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
MI
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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