Individual
SHAWNNAY DELISHA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18635 FREELAND ST # 510, DETROIT, MI 48235-2541
(248) 835-9363
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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