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NPI Code Detail

MEDICARE: RESTORATION HEALTH CONSULTING

MEDICARE: RESTORATION HEALTH CONSULTING
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
1363LF0000XFamily Nurse Practitioner4704205118MI

General Provider Information

NPI Number : 1962955625
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATION HEALTH CONSULTING
Provider Business Mailing Address
First Line : 17751 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1329
Country : US
Telephone Number : 313-744-2164
Fax Number : 313-885-1268
Provider Business Practice Location Address
First Line : 17751 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1329
Country : US
Telephone Number : 313-744-2164
Fax Number : 313-885-1268
Authorized Official
Title or Position : OWNER
Name : MS. DEQUINDRA QUINN
Credential : NP-C
Telephone Number : 313-744-2164
Provider Enumeration Date : 07/29/2016
Last Update Date : 07/29/2016

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Directions to “RESTORATION HEALTH CONSULTING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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