Individual
CHANEL MODOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2564 CARPENTER RD APT 36, ANN ARBOR, MI 48108-1157
(734) 450-0129
Mailing address
2564 CARPENTER RD APT 36, ANN ARBOR, MI 48108-1157
(734) 450-0129
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
05/07/2025
Last updated
06/30/2025
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