Individual
MR. NATHANIEL BRUNDIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8904 MINOCK ST, DETROIT, MI 48228-3067
(313) 837-7279
Mailing address
8904 MINOCK ST, DETROIT, MI 48228-3067
(313) 837-7279
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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