Detrese Abbott

NPI #1689076879 in Harper Woods, Michigan

Provider Information

NPI Number: 1689076879
Entity Type: Individual
Name: Detrese Abbott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 20325 LENNON ST
City: Harper Woods
State: Michigan
ZIP Code: 48225-1603
Phone: (586) 335-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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