Most Relevant Information
Provider Data
| NPI Number: | 1003656406 |
| Provider Name: | MARCELLA REGINA ADAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2024 |
| Last Updated: | 05/31/2024 |
Provider Practice Location
12103 OLGA ST
DETROIT
MI
482133550
Practice Location Phone/Fax
| Phone: | 3137534146 |
| Fax: |
Provider Mailing Location
12103 OLGA ST
DETROIT
MI
482133550
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |