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Carolyn Lakeisha Landers

Home Health Aide in Detroit, MI. Individual provider (NPI-1).

NPI number1629745708
StatusActive
Last updated in NPPESAug 25, 2021

Details

NPI
1629745708
Entity type
Individual (NPI-1)
Name
Carolyn Lakeisha Landers
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2021
Certification date
Aug 24, 2021
Last updated
Aug 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–MIYes

Practice location

4020 W Buena Vista St
Detroit, MI 48238-3204

Phone 313-971-7617

Mailing address

4020 W Buena Vista St
Detroit, MI 48238-3204

Phone 313-971-7617

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