Individual
RONNIE CHARLES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19015 ASHTON AVE, DETROIT, MI 48219-2962
(313) 532-3072
Mailing address
19015 ASHTON AVE, DETROIT, MI 48219-2962
(313) 532-3072
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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