Provider Demographics
NPI:1194586867
Name:MAY, VICTORIA OLAIDE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:OLAIDE
Last Name:MAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 HAMLIN DR APT 104
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-3619
Mailing Address - Country:US
Mailing Address - Phone:734-727-3485
Mailing Address - Fax:
Practice Address - Street 1:2640 HAMLIN DR APT 104
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-3619
Practice Address - Country:US
Practice Address - Phone:734-727-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No374U00000XNursing Service Related ProvidersHome Health Aide