Individual
GENEVIEVE DANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24211 BLACKMAR AVE, WARREN, MI 48091-1797
(313) 208-9484
(800) 717-0864
Mailing address
PO BOX 3292, CENTER LINE, MI 48015-0292
(313) 208-9484
(800) 717-0864
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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