Individual
LISA A GAITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8051 BINGHAM ST, DETROIT, MI 48228-2729
(131) 345-6559
Mailing address
607 SHELBY ST STE 700, DETROIT, MI 48226-3282
(313) 327-1121
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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