Provider Demographics
NPI:1003600198
Name:PARHAM-CONTEJEAN, MONICA LYNN (RD)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LYNN
Last Name:PARHAM-CONTEJEAN
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 SAINTE ANNE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48216-1747
Mailing Address - Country:US
Mailing Address - Phone:313-205-0358
Mailing Address - Fax:
Practice Address - Street 1:24931 KELLY RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-1384
Practice Address - Country:US
Practice Address - Phone:583-771-0675
Practice Address - Fax:586-771-0677
Is Sole Proprietor?:No
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered