Most Relevant Information
Provider Data
| NPI Number: | 1003443334 |
| Provider Name: | DENITIA LYNNICE MORRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 224P00000X |
| Specialty: | Prosthetist |
| License Number: | 2701188264 |
Most Important Dates
| Enumeration Date: | 03/25/2020 |
| Last Updated: | 03/25/2020 |
Provider Practice Location
21537 KELLY RD
EASTPOINTE
MI
480213213
Practice Location Phone/Fax
| Phone: | 3136460438 |
| Fax: |
Provider Mailing Location
24824 RAVEN AVE
EASTPOINTE
MI
480211453
Provider Mailing Phone/Fax
| Phone: | 3136460438 |
| Fax: |