Individual
MISS SHANNON M CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37634 JONQUIL CT, WESTLAND, MI 48185-1980
(734) 474-7594
Mailing address
37634 JONQUIL CT, WESTLAND, MI 48185-1980
(734) 474-7594
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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