Individual
MANITA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15755 FAIRFIELD ST, DETROIT, MI 48238-1447
(313) 728-6862
Mailing address
15755 FAIRFIELD ST, DETROIT, MI 48238-1447
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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