Mark Paul Azzo
Home Health Aide in Warren, MI. Individual provider (NPI-1).
NPI number1861980302
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1861980302
- Entity type
- Individual (NPI-1)
- Name
- Mark Paul Azzo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2018
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | MI | Yes |
| 374U00000X | Home Health Aide | – | – |
Practice location
27605 Walker AveWarren, MI 48092
Phone 586-899-8550
Mailing address
27605 Walker AveWarren, MI 48092-5149
Phone 586-899-8550
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