Individual
FALLON FELICE STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(734) 729-7792
Mailing address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(734) 729-7792
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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