Individual
RUTHELL IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12026 W OUTER DR, DETROIT, MI 48223-2585
(313) 532-1312
Mailing address
17179 MELROSE ST, SOUTHFIELD, MI 48075-7604
(313) 532-1312
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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