Individual
JOELENE FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4241
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4241
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
4704349253
MI
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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