Individual
DONNA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12683 SAINT MARYS ST, DETROIT, MI 48227-1246
(313) 398-1184
Mailing address
25639 JENNIFER, REDFORD, MI 48239-1723
(313) 282-1770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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