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NPI Code Detail

MEDICARE: MISS MARQUIESE ANN PEARSON

MEDICARE: MISS MARQUIESE ANN PEARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1700722634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARQUIESE ANN PEARSON
Provider Business Mailing Address
First Line : 18930 LUMPKIN ST LOWR
Second Line :
City : DETROIT
State : MI
Zip : 48234-1287
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3002 CARPENTER ST
Second Line :
City : HAMTRAMCK
State : MI
Zip : 48212-2768
Country : US
Telephone Number : 313-288-9793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ MISS MARQUIESE ANN PEARSON ” Practice Location

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