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NPI Code Detail

MEDICARE: ANTOINETTE HILL

MEDICARE: ANTOINETTE HILL
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
1247200000XOther Technician

General Provider Information

NPI Number : 1164874764
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE HILL
Provider Business Mailing Address
First Line : 336 RICHTER ST
Second Line :
City : RIVER ROUGE
State : MI
Zip : 48218-1661
Country : US
Telephone Number : 313-974-4397
Fax Number :
Provider Business Practice Location Address
First Line : 336 RICHTER ST
Second Line :
City : RIVER ROUGE
State : MI
Zip : 48218-1661
Country : US
Telephone Number : 313-974-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 07/07/2016

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Directions to “ ANTOINETTE HILL ” Practice Location

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