Individual
MIA SANAE DANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(248) 712-4266
Mailing address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
MI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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