Individual provider · NPI-1

Marcella Regina Adams

Chore Provider · Detroit, MI

NPI number1003656406
StatusActive
Last updated in NPPESMay 31, 2024

Details

NPI
1003656406
Entity type
Individual (NPI-1)
Name
Marcella Regina Adams
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2024
Certification date
May 31, 2024
Last updated
May 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372500000X Chore Provider––Yes

Practice location

12103 Olga St
Detroit, MI 48213-3550

Phone 313-753-4146

Mailing address

12103 Olga St
Detroit, MI 48213-3550

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