Individual
SHANNON NICOLE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-1661
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
11/09/2021
Last updated
07/21/2022
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