Individual
VINCENZA RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55415 JEWELL RD, SHELBY TOWNSHIP, MI 48315-1065
(586) 601-6469
Mailing address
55415 JEWELL RD, SHELBY TOWNSHIP, MI 48315-1065
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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