Individual
ANIYSA WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15321 SPRENGER AVE, EASTPOINTE, MI 48021-3609
(734) 205-7522
Mailing address
15321 SPRENGER AVE, EASTPOINTE, MI 48021-3609
(734) 205-7522
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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