Individual
MARIAH PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15004 MCLAIN AVE, ALLEN PARK, MI 48101-1819
(313) 739-9909
Mailing address
32100 TELEGRAPH RD STE 185, BINGHAM FARMS, MI 48025-2453
(248) 712-4266
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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