Individual
SHA'QUICE MULLANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N CONGRESS ST, SUITE 100, YPSILANTI, MI 48197-4743
(231) 818-2717
Mailing address
715 N CONGRESS ST, SUITE 100, YPSILANTI, MI 48197-4743
(231) 818-2717
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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