Regena Yvette Waller
Regena Yvette Waller is a Home Health Aide in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
11677 Mansfield StDetroit, MI 48227-1170
Phone: (313) 918-5835
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 112227 (MI) |
|---|
Record details
| NPI number | 1073193686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | April 9, 2021 |
| Certification date | April 9, 2021 |
| Mailing address | 11677 Mansfield St, Detroit, MI 48227-1170 |
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