SearchMichigan101YA0400X

Chanta Paul, CPRM

NPI 1467260166 · on the registry since 2024 · sole proprietor

Practice

Address
11366 W Outer Dr
Detroit, MI 48223
Phone
(313) 451-4789

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan