Individual
DANYIELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30125 S MEADOWRIDGE, FARMINGTON HILLS, MI 48334-4805
(313) 516-9356
Mailing address
30125 S MEADOWRIDGE, FARMINGTON HILLS, MI 48334-4805
(313) 516-9356
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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