NPI 1073291241

Christena R Marshall

Practitioner Health Maintenance Organization Clinton Twp, MI

Practice location

Address: 21172 Vermander Ave, Clinton Twp, MI 48035-3576
Phone: (586) 224-2550
Mailing address: 19724 Moross Rd, Detroit, MI 48224-1170

Registered specialties (3)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1073291241
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2023
Record last updated: 23 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.