Individual
SHANEE ELERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16196 ARCHDALE ST, DETROIT, MI 48235-3413
(313) 728-9724
Mailing address
16196 ARCHDALE ST, DETROIT, MI 48235-3413
(313) 728-9724
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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