Individual
REGINALD A DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, BS
Contact information
Practice address
1075 GAULT DR, YPSILANTI, MI 48198-6427
(734) 547-7814
Mailing address
1075 GAULT DR, YPSILANTI, MI 48198-6427
(734) 547-7814
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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