Individual
MISS SHANTALE NARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21465 SYRACUSE AVE, WARREN, MI 48091-2823
(313) 265-6985
Mailing address
21465 SYRACUSE AVE, WARREN, MI 48091-2823
(313) 265-6985
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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