Individual
DENIKA LEFLORA DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5260 FAIRWAY TRL, GRAND BLANC, MI 48439-9445
(810) 610-7175
Mailing address
5260 FAIRWAY TRL, GRAND BLANC, MI 48439-9445
(810) 610-7175
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704277539
MI
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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