Individual
LA WANDA FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16258 MUIRLAND ST, DETROIT, MI 48221-3076
(313) 304-3544
Mailing address
16258 MUIRLAND ST, DETROIT, MI 48221-3076
(313) 304-3544
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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