Individual
MARIE E BENVENUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 W UTICA RD, SHELBY TWP, MI 48317-4766
(586) 262-4534
Mailing address
54781 FLAMINGO DR, SHELBY TOWNSHIP, MI 48315-1347
(586) 677-0465
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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