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Organization
SNAPP BACK TO HEALTH LLC
Active
Organization
SNAPP BACK TO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTA NICOLE BROWN NP (OWNER)
(248) 252-9730
Entity
Organization
Contact information
Practice address
20905 GREENFIELD RD STE 303, SOUTHFIELD, MI 48075-5347
(248) 450-3177
Mailing address
20905 GREENFIELD RD STE 303, SOUTHFIELD, MI 48075-5347
(248) 450-3177
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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