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Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other

Provider NPI: 1720493687

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 810-496-4955  Fax: --

Business Mailing Address:
420 W 5TH AVE  FLINT, MI 48503-2445 US
Tel: --  Fax: --

NPI Information:
NPI: 1720493687
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y246Z00000XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 246Z00000X





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