Individual
MRS. ALTHEA RENEE DANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
12615 METTETAL ST, DETROIT, MI 48227-1241
(734) 834-2935
Mailing address
12615 METTETAL ST, DETROIT, MI 48227-1241
(734) 834-2935
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9428286
—
MI
Enumeration date
11/21/2020
Last updated
11/21/2020
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