Individual
SHIBA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26437 CARLYSLE ST, INKSTER, MI 48141-2607
(313) 459-4651
Mailing address
26437 CARLYSLE ST, INKSTER, MI 48141-2607
(313) 459-4651
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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